HomeMy WebLinkAboutALMIRA DR., 3313
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,. B R E M E R T 0 N B U I, LD, I N G ,D E P'A R T M E N T
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i P E R M I T
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====~=======~=~=~=~===='=.====~'========='======~========================
Application Date
Issue Date
,Assessor Acct I
s~te Location
Owner - Last Name
," - street
- City
-Phone
Tenant~,s Name
Agent's Name
Architect's Name
[X] Building
[ ] M,echanical
[ ] PlUmbing
App~icationNumber 94AP08282
Permit Number' 9580
Project Group ,
12/11/1994
3926-0'00-002-0001
3313 ALMIRA',DR
EV'ENSON
3313 ALMIRA DR
BREMER TON
(206)
,First BERNARD
state WA Zip 98310
Phone(206)
Phone(206)
MI
[ ] Grading, [ 1 Sign [ ] Paving
[ ] Move Buil<iing I ] Burning r 1 Underground
[ 1 Mobile 'Home [ ] Land Clear [ 1 Demolition
CAPE SIDING
PO BOX 443
SEABECK
(206)
state WA zip 98380
E.xpiration Date 08/12/1995
Expiration Date
-~--,------_.~----------------~----------~-----,--~------~--~---'-~------
Contractor
St'reet
City
'Phone
Representative
state License I
City License I
,Nat'ure of Work:
Ne,w 'vi,nyl siding on home.
Building Contractpr;
'CAPES**090NK
Building Valuation
.
WI 0
~~,
$7500.00
Council District
---~-~------~--------~--~--~---------------------~--------~,-------.---
Construction
!1'ype
Residence
Business
Other
New
Repair
Remodel
Addition
[X]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
2
Census Tract
I ]
[ ]
[ ]
[ ]
[ ]
[ ]
[X]
Received By:
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Sq Feet
Inspectipns
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Zoning
Type
Foundation
Framing'
Insulatipn
Plumbing
Mechanical
Wallboard,
Final ' ,
Stat\1s
Code
5
Approved By:
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r-:- ~UILDING PERMIT
c..:"" City of Bremerton, Washington 98310
:)926-JCO-002-,jOOl
Assessor's Tax Account No.: 1.
9580 k
Phone: (206) 478-5281
N~
Site Address:
3313 cUI;lira Dr
Phone No.:
Owner's Name:
;je,~:n~,r;.~ :"':.lerlSOn
Address:
S31Je
Applicant:
DOwner
o Architect
:m Contractor
o Tenant
Architect Firm:
Address:
Representative:
Phone:
Contractor:
::2..-02 3ir.li!lg
Representative: James ?;JI:-puson
Address:
....:.0:,:
, ,~
'i-t+.5
.SeaJec~: ,
;,h'~
9038[;
Phone:
Contractor's License No.:
C)2I~0,;~'1:C1giJErh
E 0 t ")//12/05
xp. ae:
o Residence
o Demolish
o Grading (cu. yds
Nature of Work Proposed:
o Business
o Duplex
o Other:
o Multi-Family (No. units
o Bldg. Move
o New
o Repair
o Sign
o Remodel/Addn
o Parking Lot
"-::in~7I ai6ir1g
Sq. Ft.:
Utilities:
o Water
D Waste
o Sewer
o Septic
o New
D Existing
o Storm
Valuation of Materials/labor:
[UBC Sec. 304(b)]
Plan Review Fee:
Permit Fee:
Surcharges:
$
$
S ') . ~);~)
State $i'.SgG [j:c
Energy $101$15 0
Receipt No.:
Date:
Receipt No.: :)t~S.'!:,
Date:~.:.. (/ "
Zone Designation:
Minimum Req. Setbacks: Front:
Occupancy Classification (UBC):
No. Stories:
Side:
Rear:
Height:
Heat Source:
Comments/Conditions of Approval:
c},......
~'~'v~"".
yD
141\
!.../.l,.,_;J';" .;..: ~'::_.
-~i (Y?=j'I~~IiJl, :.~J:'i.~:~ ,_~F
INSPECTIONS REQUIRED: Foundation 0 Framing 0 Plumbing 0 Mechanical 0 Wallboard D FINAL ~
OWNER OR BUILDER SHALL CALL 478-5281 FOR ALL REQUIRED INSPECTIONS AND RECEIVE APPROVAL PRIOR TO CONTINUING
WORK. SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR RLUMBING AND MECHANICAL.
All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not, The granting of a permit does not presume to give authority to vol ate or cancel the
pr~visions of ~er state orlocal,laWregUlatin~, const::;on ~r the p~rt~rm,anc:; of ::n~ructjon, SEE AND READ NOTICE ON REVERSE.
",-Signature L . " " '.. c; ",. ..' " '.'- "', ,,/.~.J!:.. l ......, .J
Copies to: White-owner; Yellow-file; Pink-Assessor: Goi(re~rOd-Bujlding Stat. Code I I
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B U I L D 'l: N G
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* This Is Not A Permit *
Dee IJ, :1994
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Buildin9
62'-322.1001
Pel~mi t. F~!lel'i; Ammmt J?a,.id P:l an CheckP't:H"lS Amount Paid
*; 99J>()()
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6:2" ::~ 4 5. B 300
$
.(10
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()therP,'ees
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'rot.al P'e,es
Am,)lltJ t Pai d
P.t~iot: Paym.ent.~ $.
$
.00
$
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$.
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Balance thle
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$.
99,00
t,
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Rscei '\l'edf.l'n?n1:
On
For#94APOE!;'82
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r- ~eUILDINGPERM T.
, CiW of Elremertot:1,Washington98310
'3926--000-002'"'OOnl' '
Assessor's Tax Account No.: " ' ,,' , ~.t'
Site Address: 3313', Almira' ,Dr ' ,
L..,
'9580 ~
Phone: (206) 478~5281
Phone No.:
Owner's Name:
Bernard.Evenson
Address:
same
Applicant: , '
, 0 Owner
o Architect'
,m Cohtraqtor
'D Tenant
Address:
Architect Firm:
Phone:
Contractor:
C9-pe.Siding
, PO Box: 443
Seabeck,
CAPES1d:090NK
Representative: James Ferguson
Phone: '
Exp.Date: >8//12/95
, Address:
Contractor's License No.:
o
Duplex
o 'Other:
,0 Multi-FamilY (No. units
o Bldg. Move
~idipg "
o New
o Remodel/Addn
o Parking Lot
o Residence
o Demolish '.. ,,'
o Grading (CtLY,ds
Nature of Work Proposed:
o Business
)
Vinyl
Sq. Ft:
Utilities:
0, Water
o Waste
o Sewer
o Septic
o New
o Existing
o Storm
Valu,ation of MatElrials/Labor:
[UBC Sec:304(b)] ,"'"
Plan Review Fee:
Permit Fe,e:
Surcharges:
$
$
Date:
99.00
Receipt No.: 9088l.
Date: 12/8/94 ' '
State tt.ii~O ,[iK
Energy $10/$15 0
Zone Designation:
Minimum Req. Setbacks:' Front:
Comments/Conditions ,of Approval:
Occupancy' Classification (UBC):
No. Stories:
Side:
Rear:
· Height:
Heat Source:
;;..11
. .' .
DAVID .A. NELSON, BlJILDING OFFIC!AL,CITY OF BREMERTONq
INSPECTIONS'REQUIRED: Foundation, D Framing 0 Plumbing 0 Mechanical 0 " "Wallboard 0 FINAL
OWNEROR BUILDER SHALL CALL 478-5281 FOR ALLREQUIREDINSPECTIONS ANDRECEIVE APPROVAL. PRIORTO CONTINU NG
WORK. SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING AND MECHANICAL.
All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to v'olate or cancel the
, proviSions of ot er,llI te, or local law regulating cOp~Jction or the performance of construction, SEE AND READ NOTICE ON REVERSE.
Signature " ' ,,' '\ tJJ\,,' , '
, , I'"
Stat. COde I
Copies to: White-ow, r; YelloVl(-file;Pink-Assessor: Gol enrod"l3uilding
.":!~;''''':~''?Y:'Y,'''-y.:'7:.;;-t/7'~;''~~-'..?~'7~':':'f'~;:\':::~.'-;'fl7!-"":~f'{::,?1'\~'~~;,~,If~.;'~'~.\:;'"",1,'~3~;;'~::<;>'".~::.~: r;~~'~.'''';' ;'(:f~,i~~Jl'::S~l: '~)f'.'--.l}~\~' :,:,!~;~7r.;;r~:.~. -~: e\~):~t.:,.. .1,IJ '-;H,:/:~,r.'iE'~., \l',,':,r' .', fie:. }'i~!,=:, j~;f.:.;.,::~".~;~; :; ,;.;f.;,)....';'i.,: ' :',y~~';':~:~y: ,:-".<' .~'" ' .1' .. <' \,;~ ..,~;"\i~X,~:1 t,i:/ ! (' ..~" '~.:1.-': : . '.. ',"
..
,-
or work authorized
date of or if this
or abandoned at any time after
is
and this and know the same to be
of laws and of work
or not The of a does not presume
of an)' other state Of local law
or
of
state contractor's
of concrete.
inside walls and after aU
etc."are in-
In
> ~ "
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'" -....~
CITY OF BREMERTON
239 4TH STREET
BREMERTON, WA 98310
TELEPHONE (206) 478-5305
PARKS DEPARTMENT
DATE A)
I'd- '~ q~
RECEIVED FROM
CASH
~bg~ ~,
'e
CHECK ON ACCT,
$
AMOUNT
# #
FUND BSB LL OBJ DESCRIPTION AMOUNT
-- I
I
001 343 10 00 RECREATIONAL ACTIVITIES I
1
I
1
001 347 90 00 TUITIONS 1
I
I
I
001 362 11 00 BUILDING RENTALS I
I
I
I
001 362 12 00 FIELD RENTALS I
1
-- I
I
1
001 362 13 00 CONCESSIONS 1
I
I
001 00 1
362 14 MISC. RENTALS I
I
I
79!o-a
S' $""0
TOTAL RECEIVED
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1
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1
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:SZ)
803 38~
10 00 LEASE HOLD TAX
389
20 00 SALES TAX
/tJ
APPLY SALES
, ...., ".,
'" .. "..,; ':--
BY
CITY COPY
r-
City of Bremerton, Washington 98310
3926-000-002-0001
Assessor's Tax Account No.: '
3313 Almira Dr
.
BUILDING PERMIT
N~ 9580 ~
Phone: (206) 478-5281
Site Address:
Phone No.:
Owner's Name:
Bernard Evenson
Address:
same
Applicant:
DOwner
D Architect
@ Contractor
D Tenant
Architect Firm:
Representative:
Phone:
Address:
Contractor:
Cape Siding
PO Box 443 Seabeck
,
CAPES**090NK
WA 98380
Representative:
Phone:
James Ferguson
Address:
Contractor's License No.:
Exp. Date:
8//12/95
D
Duplex
D Other:
o Multi-Family (No. units
o Bldg. Move
siding
o New
o Repair
o Sign
o Remodel/Addn
o Parking Lot
o Residence
o Demolish
o Grading (cu. yds
Nature of Work Proposed:
o Business
)
Vinyl
Sq. Ft.:
Utilities:
o Water
o Waste o Sewer D Septic o New
Plan Review Fee: Permit Fee:
$ $
99.00
Receipt No.: Receipt No.: 90984
Date: Date: 12/8/94
o Existing
o Storm
Valuation of Materials/Labor:
[UBC Sec. 304(b)]
Surcharges:
State $4.Si~O []x
Energy $10/$15 0
Zone Designation:
Minimum Req. Setbacks: Front:
Occupancy Classification (UBC):
No. Stories:
Side:
Rear:
Height:
Heat Source:
Comments/Conditions of Approval:
DAVID A. NELSON, BUILDING OFFICIAL, CITY OF BREMERTON
INSPECTIONS REQUIRED: Foundation 0 Framing D Plumbing 0 Mechanical 0 Wallboard 0 FINAL
OWNER OR BUILDER SHALL CALL 478-5281 FOR ALL REQUIRED INSPECTIONS AND RECEIVE APPROVAL PRIOR TO CONTINU
WORK. SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING AND MECHANICAL.
All provisions ot laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a perrilit does not presume to give authority to v' late or cancel the
provisions of any other state or local law regulating construction or the performance of construction, SEE AND READ NOTICE ON REVERSE.
~ignature
C,opies to: White-owner: Yellow-file; Pink-Assessor: Goldenrod-Building
Stat. Code I
J
I
APPUCANT: DOWNER 0 CONTRACfOR 0 OTHER:
SITEAODRESS: .1...~/~ J!k/A~JiJ~, COUN1Y ASSESSOR PARCEL #: 39c26-tJotJ -dCJ:Z-<1dtJ I
OWNER: (34/HAAJ/.' CM#ff-y( , f~6gRF.SS:
CONTRACTOIh, .~ ~ (l e '.. ADDRESS,
EXPIRATION DATE:
CONTACT PERSON, , .I.-~~ /.L.a~ CONTACT PHONE<
o SFR 0 DUPLEX 0 MULTI-FAMILY DBUSINESS 0 OTH~~:
o SIGN 0 DEMO 0 MOVE BLDG. ,DMOBILF. 0 GRADING(yds):
. '
D NEW 0 REPAIR D'REMQDEL D,ADDITION 0 OTHE~:
INTENDED USE:
ZONING CLASSIFICATION: COUNCIL DISTRICT: '
l5d~ - UI/(.JlfL hi .A~
NATURE OF WORK PROPOSED:
SQUARE FOOTAGE: Dwelling:
Garage: Decks:
ForDe arlment Use Onl
~:t:MM~Kf.l.tW&wtf>.Ntm~Mt. tWll~em;;~;~[@j' X;:@Wl~~amsEilf@fII:!:!:ilm($.W~Uf$.IU@W llmmatQTAti:'~IlllW
$ 7 6/ --0' (>-0 $ $ ENERGY: $50.00 $, /' a., 3: S-, 0
o 6 STATE: $4.50 -----:::::::::- '
Applications for which no permit is issued within 180 days following the date of application shall expire by
limitation. and plans and other data submitted for review maY thereafter be returned to the applicant or
destroyed by the building official. The building official may extend the time for action by the' applicant for a
period not exceeding 180 days on request by the applicant showing that circumstances beyond the control of the
applicant have prevented action from being taken. No application shall be en~n.ded more than once. In 'order to
renew action on an application after expiration. the applicant shall resubmit plans and pay a new plan review fee.
I hereby certify that the above information is correct to the best of my knowledge.
APPUaNT'S SIGNATURE~~jh$ ~LtA~ OATh 1~{Jt~~
...
.~ _ ~.""" ~.' 'A ~ ,_. -_ _......,._ .. 4> ...
REGISTERED AS PROVIDED BY LAW AS. A:
i..: , ., '. ,. <-,:.; ;.,'>,. ';';'1-,j:':
r;ii.toN9t"'..CmN."gENER~ :',;
l ',.~':. . ,,:,": ',' . ' .... ~,. .' ."', '.
:.";:; .'.,. ,,'." .'. i,Ri?GI$:rRATIONNUMsER.." ".;,'~i.c '...,. < JXPlfiATIONOATE;[:
\ ",';.:..01: ""><'CAP~~**O~~' 'O~~:lF!{'"i~'
';;","',~" ,.,.,,' :~,,' "t::E' ',", ."", ':1", '.I..'~, ,,'. '^'.' :'P..~," Mb'~.",:~;;,.;r:i,1'.': ,
r' "!~"'--'~!' . :;,:~"," 'F~~'~~' ',",~:'f ',:,'---"$;:;;;- ::;~'~:f$;( '~~"~::C;;-~.:~.-,:' >" :4
, -. .
!CAP:SSIDl NQ
. PO BOX 443
SEABECK
993flO
W/\ r-mf
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SIGNATURE
ISSUED B
,
BRBMIIRTON BUIlDING OSPJUlTllBNT
Inspection Report
Scope of won: vinyl siding
jlCl~: 3313 Almira Drive
Owner: RprnRril F.vpn~on
~1I1lctOr: Cape Siding
Penult Number: 9580
COMMENTS:
FOOTINGS APPROVED:
COMMENTS:
APPROVED:
Phone:
Phone:
FOUNDATION
WAUSAPPROVED:
Hoc
10'
BNlRSY CODB COMPLlANCB
COMMENTS:_
UNDER FLOOR/FOUNDATION INSUlATION APPROVED:
WAll INSUlATION APPROVED:_
CEILING INSUlATION APPROVED:___
MECHANICAL
AppliaJ:Ke clearance to combustibles
Venting: size 8( support
Combustion air
Gas pipe under test
Gas pipe: underground min. 12" below grade
Gas shutoff within 3' of applialKle
Gas ~: damper permanently open
Woodstoves 8( fireplaa:s: Tight-fitting doors
Manufacturer's specs on sire
Chimney: separare flues when required
ApplialKle location and aca:ss, proper support
Venting: deuanCJe to combustibles
Vent termination
Ducts: size 8( support
Gas pipe: size 8( support
Gas pipe: within 6" or underground-wated
Gas ~: safety shut-off
Woodstoves: EPA certified
Woodstoves 8( fireplaa:s: proper hearth
Chimney liner: when required
COMMENTS:
GAS PIPINGAPPROVED:__________FURNACEAPPROVED:
OTHERAPPLIANCFS APPROVED:
DWV 8( water piping under test
DWV: proper sizing
DWV 8( water piping: proper support
Vent termination
Water supply: proper sizing
Water heater: gate valve on cold water supply
Water heater relief valve drain to outside
R-I0 pad. under water heater when required
Grease trapslintera:ptors: where required
PLUMBING
DWV: proper grade
DWV: proper drainage fittings where required
DWV: required deanouts
AU fixtures vented properly
Shut-offvalves on aD fixtures
Vacuwn breaJras: where required
Water heater: siesmic. strap
Water-piping insulated as required
Proper indirect wastes: where tequired
COMMENTS:
PLUMBING GROUNDWORKAPPROVED:________PLUMBING ROUGH-IN APPROVED
SBmn'.OCK
nails-8" 0,(;" vertical plane
_12" o.c:. Lo.riz. p1ane(1I2") 24" o.c:. framing
saews-12" o.c. vert. plane(1I2")-24" o.c. framing
sa:ews-12" 0,(;" horiz. plane(5/8")-24" o.c. framing
sa:ews-12" o.c. horiz. pIane(5/8")-24" o.c. framing
Draftstops where tequired
Waterboard where required (not on ceiling)
Proper fastening: nails -7" o.c. horiz. plane
Proper futening: _12" o.c:. b.onz. pIane(1I2")
Proper fastaliing:saews-16" o.c. vert. plane (112")
Proper fastening:saews-12" 0,(;" hom. plane (5/8")
Proper fastening:saews-16" o.c. vert. pIane(5/8")
Area 8( oa:upanc:y separation walls
Usable spaCJe under stain (518" tequired)
Corridors
COMMENTS:
SHEETROCK APPROVED:
Energy code tequirements met, exhaust fans
Gange/dwelling dO<< self dosing solid axe
Handrails 8( guardrails, as tequired
EDt signs when tequired
Ocaapant load posted when appliable
Wood. siding to earth separation (6")
Radon monitOl' when required
FINAL
Plumbing 8( medaanical
Smob detectors where required
Fire ratings maintained.
Emeqp,enc:y lighting when tequired
Building weatbertigb.t
Building address posted
COMMENTS:
FINAL APPROVED:
~
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401
A
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City of Bremerton, Washington
Phone: (206) 478-5281
$ 35.00
70.00
RECEIPT NO.
40854
DATE
OWNER'S VALUE
BLDG. DEPT. VALUE PLAN CHECK FEE
RECEIPT NO.
PERMIT FEE
$ 17,000
$
7-7-77
SITE ADDRESS/ LOCATION 3313 ALMI RA
OWNER'S NAME BERNARD EVERSON ADDRESS
PHONE 377-6443
CONTRACTOR
ADDRESS
IKJ RESIDENCE
SAME
ST ATE CONTRACTOR'S L1C. #
o BUSINESS
o NEW
o REPAIR
PHONE
~ REMODEL
KI ADDITION
PLANNING / ZONING
Rl
FIRE ZONE 3
STORIES
2
, "OCCUPANCY
I
THIS PERMIT ISSUED FOR:
i
ADDITION OF LIVINGROOM OVER BSM'T GARAGE AND REMODEL
PER DWGS.
All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction.
INSPECTIONS REQUIRED: Foundation [1f:
INSPECTION:
Framing {J
Plumbing ~
Electrical ~
Wallboard ~
FINAL ~
FOR INSPECTORS USE ONt Y:
REINSPECTION:
TYPE OF INSPECTION
DATE
TIME
APPROVEd AP~R'&"VED
COMMENT
, DATE
TIME
APPROVED
FINAL INSPECTION APPROVED BY
Building Inspector
OWNER'S SIGNATUR
BUILDING DEPT.
.
.
CITY
,...
~DDRESS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. PHONE...............
!\DDRESS/LOCATION OF ~B.... .~~(~. ,/JG~Jrz,(;tf?. c . ('!f;.e: ................................
p I. Of' ~/')I /7/1. c-/
LANNING ZONING..-r'" ...... FRONT..... .-.7. REAR... ..-'v...... SIDE. .I:...:.-?-"".~......
)CCUPANCY.... .ork..... FIRE ZONE......:1...... TYPE OF CONSTRUCTION.....~. ;-u/t!~W{'.A~.u/.
1\PPLICATION ISSUED FOR: .... @d.if'/l1. .GT/. ..{I.":~iyfPIR!IJ1.. .qf~. .4~1 f?l./fL;}~...
......... .................... ..... ....... ...... ......
SIGNATURE APPLICANT
I '7_1_ 77
DATE...f.. ... RECEIVED
~LANNING COMMENTS/RE
~NGINEERING COMMENTS/REVIEWED BY.. ..~~
~IRE DEPT. COMMENTS/REVIEWED BY..
.~~~ 9'-'~
rRAFFIC DEPT. COMMENTS/REVIEWED By..........
fJ~ ~J .N\e~A.ok \ ,,~, l ~ V" { "'"" ~C>
WILD I NG DEPT. COMMENTS: ~ ~
)LU~BING REVIEWED BY.. .... ....
_ ~ _ /r -, f __ .J. / //// #'
:LECTR} CAL REVI EWED By......... .iL4'~-? S 7-5 pee -.r~~
:UILDING REVIEWED Byr/::f.~...
,6} .L '(;4 /IJ X 10 fi.&"i J11 tJ uFP i
/:'
,
PPROVED BY COMMISSIONER OF PUBLIC WORKS
..... .................... .... ..... .....
OAT E . . . . . . . . . . . . . . . . . . . .
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au: :_J: :\JG ~=~VI
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1371
A
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I
City of Bremerton, Washington
Phone: (206) 478-5281
OWNER'S VALUE
$ 75"0 ~
SLOG, DEPT, VALUE
PLAN CHECK FEE
RECEIPT NO,
PERMIT FEE
t!:>tJJ...
$ ()
RECEIPT NO,
DATE
$
SITE ADDRESS/LOCATION 13/:3 J1tM /1";4 Or,'/ve-
OWNER'S NAMES. j:"t.e.rSt:)/V ADDRESS
CONTRACTOR HorPor ~~Z STATE CONTRACTOR'S L1C.#
o/br~ 7
i ~r) /)8
PHONE :J1?-'-Y~3
ADDRESS
W RESIDENCE
PLANNING / ZONING
o BUSINESS
o NEW
o REPAIR
PHONE
o REMODEL
..ar ADDITION
FIRE ZONE
STORIES
OCCUPANCY
THIS PERMIT ISSUED FOR: /l/ew /?A~/<oc:L
.
C~/~ 7~~'
Iff ?~ /~~~ kCA'~ G~ ~
All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction.
INSPECTIONS REQUIRED: Foundation ~ Framing 0 Plumbing 0
INSPECTION: /ix>/;"Nf ~ 0~ U~Ij~. d~7
Electrical 0
Wallboard 0
FINAL~
FOR INSPECTORS USE ONLY:
REINSPECTION:
TYPE OF INSPECTION
DATE
TIME
NOT
A.PPROVEO APPROVED
COMMENT
, DATE
TIME
APPROVED
FINAL INSPECTION APPROVED BY
Building Inspector
ICATE REQUIRED BEFORE OCCUPYING BUILDING
OWNER'S SIGNATURE BY
BUILDING DEPT. :;; ~gl::-.