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HomeMy WebLinkAboutARVON AVE., 106 .,,~ .~' -~ . '1'r <-',,...,----. .-, ._....-... ^-----.,~._~ ~.,-,.;~".,_..'--, .1 :yc: i~> , A B R E M E R T 0 N B U I L D I N G .D E P R T M E N T P E R M I T ===============~=========,====='========='=======-===~===~======~======~.= Application Date Issue Date Assessor Acct :If site Location Owner - Last Name - street - city - Phone r.('enant's Name Agent's Name Architect's :Name [ J Building [X] Mechanical [X] Plumbing 12/03/1993 12/03/1993 Application Number 93AP07164 Permit Number 15094 Project Group 106 ARVON AVENUE SOTAK 106 ARVON AVENUE BREMER TON (206)377-7822 ~irst DON MI state WA Zip 98310 Phone(206) Phone(206) [ ] Grading [ ] Move Building [ ] Mobile' Home ( ] [ ] [ ] [ 1 Paving [ ) Underground T ] Demolition Sign Burning Land Clear _._._-----_._-----~--------_._--~._-------~---~----~------_._._-------~--.--- Building Contractor: Work will be completed by owner. Nature of Work: mechanical permit for gas furnace, piping, Plumbing permit for water heater. -------------~-----~--------.-------------~--------------------_._--.-._- Council District Construction Type Residence Business Other New Repair Remodel Addition Census Tract Sq Feet Inspections Required [X] [ ] ( ] [ ] [ ] [ ] [ ] .[ 1 .' [ ] [ ] [X] [X] [ ] [X) Zoning Type FouJ;ldation ,,;,,>ce"'Fi- and ng Insulat.ion -Plumbing Mechanical. Wallboard Fimd status Code . . '.. . . ----~~._~--~~--~--------------------------~----~-----~-~~-~'-~--------- ~ ~~~~ ~ ~ ~ =~~ :::::::: ~ ::~~~:1~c;,,~ =~LJ ll:! ~~~ ::, ----,------ -"- - -, - - - - ...., "_, ",:""",-",-" .~c" ~\ ".'-J ,'Ill ,.,,, ',.><~. ',.' B REM ER TON Contractor street City Phone Representative state I..icense# City Licen~e# B U I L DIN G D E PAR T MEN T M E C H A N I C A L P E,R M I T A P P L I CAT ION ---------------------~----------------------_._-----------------~----- ----------------~---~----------------~----,-------~~------------------ Application Number 93AP07164 LEONARD/In tLMAN, 3460 OLD BELFAIR BREMER TON (206) - INC. HWY. state WA Zip 98310 I I r I I I I I I LEONAI*126R7 Expiration Date 12/27/1993 Expiration Date stoves Fire Place Inserts 1 Furnaces Conversion Burners Unit Heater Boiler.s 2 Gas System: Max 5 Outlets Evaporation Coolers Air Conditioning Units Heat Pumps Mixing qrRe--Heat aox Air Handling Units Fans Range. Hoods . Clothes Dryers . Incinerators Duct Alterations Tanks Refrigeration Units Other Items I rj I J 1 I I I , . . , . ========.======.=~=.==~=========.=~==.===========.=========~==~============ ~..- ~,~~, ..~- .' '.. ..--'----~~,.___-'--"-~,_""'---"'___"'_~~~,~,."_".,~~~J ! I I I' t I f I f I I I I t t ! I [ [ l I' B R EM E R TON 4 BUILDIBG DEPARTMENT P L U M BIN G ~':r~."__..---:""",,,..---^,~-:-:,~,::-_,,~, PER M I TAP P L I ~A T I ON -----,-~--_._---~----------------_.~-------------~----_._--~--~--,----_._-- ----------~------'---~'------,-_._------------~~----------,----~-----~---- Contractor street City phone Representative state Liceilse :If City License # Application Number 93AP07164 LEONARD/HILI,MAN i 3460 OLDBELFAIR BREMER TON (206) LEONAI*126R7 INC. HWY. state WA Zip 98310 Expitation Date 12/27/1993 Expiration Date Toilets Bathtubs Basins Showers Ki tchen Sinks Dishwashers Laundry Trays Clothes Washers 1 Water Heaters Urinals DrinkingkFountains Drains . Slop Sinks Water Piping and Alterations In.terceptors Hose Bibb Lawn Sprinkler Private Pools Public Pools BUilding Sewer Gas Pipe Roof Drain ' Private Hot Tubs Pub! ic Hot Tubs Other Options l 1 J I '1 I l 1 I I 1 ~ 'j 1 1 J I I I I I I I I I -=c===~========,~='====~======,=~=~==~=~~===.=============~,==~=====~====== ~,--,,~':'~.',~~~"-- ..... :~,...:-.s----"""';;"-'-_~~~'~~""":""""~.l..---':""""":"""'----'-""':~ I ~~--"~j c . .,.1...... '-_~. ""'."~{~~~i'~;1:*"P" ," ,~li'~~~,~f;.i f- ~r~' , f-l 't ! 'f" , II i ! 1 R E M E R T 0 N B tl :r J:., D I N G }) E P A R T M E N 'I' RECr-IPT #: OS 17 '* This Not. :A t 'It Dee 0:3, 1 cad :<322.1005 Pllunbitlg 62 ~~2 ' ...."'" PEn:mi t Fee~ $ 27,00 t\lTKlu;nt. Paid $ .00 Plan Check F'ee~l Amount. Pa.:id $ 12.00 ~, "i' .()O %::==='==~~~~ ~~====c=== $ ,00 -345,8300 $ ,1)0 Fees Zo:n.:iug Fees Paymen:t Fees $ ,00 tqy rge stat.e C 643-237.13 ~~~~~~~~~ 'rota 1 Fees $. .00 Amount Pa.id. $ ,00 Pr-it):rPaymel'lct,,- $, .00 P,a,l ance Due :) .00 ~;r:;;~@:t:~.,'::;:l=~ ======~==2==C=='====:==C $ :,9,00 $ 39.00 On 12/03/1 jji'or i9:';J\P01164 '\., I ~ . ~",,'i'{'U:::i ,j;i ~ , '..... ~ ;", c.;. , .- x ,":,:;"..,~ . ~.;~;i~:~~rI!;i;;~~:tm~i\l~~~::f:~: >::~I;i~;:::\:;'j:;::;;:;:;:;;,\;:;,:,,:;t::;i\:';J;:Je~JJ8_~";~,}.:.;:(":,:.;.:,,:::,:;.::...:".,.,;.....,, ';,.;,;. 8 915 piplr1l\ ~PLlCANT: 0 OWNER ~ coNTRACTOR 0 OTHER: COMMENTS: SITE ADDRESSJD(o A(\JDn f1\Je.. OWNER:D Dn <')){aJ1 CONTRACTORLecrorrJ Hillro{1tLr (nC . CONTRACTOR LICENSE # ~~AJ: J~RI1 OWNER PHONE # c/1'l....'1~~-'l. ADDRESS: 1010 AMn Aut. ADoRESsEjflt5lrnpvuai fU.ut ::ill. Pott ()/t!ja1lJ EXPIRATION OATE: J;}Ja'l j~ . CONTRACTOR PHONE' L:r74- dff;() .,a~;':@~;.";~'~liY.i~:i__l' -:' :," ';' _s.' , 'ii;:":i::;':~:iii{':: .~;il' o. '~;;~;:<11';~}....:;::,..}rlli~;;i:;m. '" "'.n';ni~ JJ1.'~". .'. '.'RB. "';"';..;,;." .:,,'::.:-,1 "'.FE' . E' > ,r:'.~ .>-:.:. .;-.' . .:....., ." . . ,", C'. .' . ',i': . " ",>~.;.,-.z,:..<:..{..., :...,....N:.;.~ ;.:. ;.". ;';';'.' ,:.>, '. '. 'lot.;.:. .;.:.;';':'~.;';';'~':"': :.;.;.:.;.;.;. ,'.:.; :. . '.' . :" . " . .:.. .' . ". > .;.".; .', ;.;.:.;.;.,.,........ ;..,- .',., '. ,'. . ''''''M ~N'. .. ............. ~ ,'~~, . ....... ....... .,....ili:::(.~..,...h '{ .... ..> '..... ,.." , . ., .' ,".. . <:" . . ~ ., .. .. . . , , ,. "'-' !o .....,....... .... . . ..."'........ ..'........ ..... ....... ....,...., ......... .;..,.......,.;.../.;...:. ..-'.' . . .... RANG~ WATER CLOSET - WOOD/Pt.l..l.ET STOVE BATHTUB I GAS FUtlNAC~ lilt; i: - lAVATORY CONVERSION BURNEtl InN i: SHOWER - UNIT HEAUtt "hi i: t<tTCHEN SINK - BOIL~R 6tu i: OlSHWASHER =r= GAS PIPING LAUNDtlY TRAY EVAPORAilON COOLERS "hi i: CLOTHES WASHER - AC UNIT I bttl i: WATER HEATER - HEAT PUMP btu i: tons: URINAL - REHEAT BOX IJ,. i: DRINKING FOUNTAJN - AIR HANDLING UNIT bttl i: FLOOR SINK OR DRAIN - EXHAUST FANS SLOP SINK - RANGE HOOD (re.ldential) WATER PIPItNG & ALTERATION - RANGE HOOD (commerciAl) GREASE TRAP/INTERCEPTOR - CLOTHES OllrtR HOSE BIBBS - INCINERATOtl LAWN SPRINKLER SYSTEM - DUCT ALTERATION SWIMMING POOL - TANKS 'YP~: BLDG. SEWER (mobile I moved house) - REFRIGERATION UNIT ROOF OIWNS - OTHER: OTHER: , . APPLICANT'S SIGNATURE: DATE: - ....- --- Job' 0 Est. # '7 1', Invoice # of Pages Page No. !1vLEO'!~Df/'!L!!!~~ INC. 5695 Imperial Way S.W. Port Orchard, WA 98366 (206) 674-2500 " .;-- PROPOSAL SUBM.neo TO Don ~ 6o-t-a1<. JOB NAME ~ -;:')b'ta.K JOB LOCATION I DATE 11-5-93 STREET 106 Arvon Ave. JOB PHONE CllY. 5lA TE AND ZIP CODE Bremerton, WA 98310 I WORK PHONE I PHONE ./ CONTRACTOR '- HOME PHONE 377-7822 A~A.p.. WE HEREBY SUBMIT SPECIFICATIOOS AND ESTIMATES FOR: Carrier #58MXA060-1-12 (90% A.F.U.E.) gas furnace system complete with Rheem 50 gallon 21VP~ power vented gas water heater, P\TC venting gas piping (from meter to furnace, water heater with range and dryer rough-in), sheetmetal and ductwork, to hook to existing, insulating (R-8) of exposed ductwork, sound lining in main supply and return plenUlTS (for noise reduction), condensate removal, controls, labor, start, test and one year parts and labor warranty, limited lifetime factory warranty on Heat Exchanger. . Also included is 2~ uninsulated duct wHh 3 rn:!W supplies plus 3 new take off's !or future upper runs and :nKI,V\X1~~1~~ E't",...~~~iC3 Cleane.r and HoneYWell T8602 Proqr e nermo . liOTE: Newwater heater to be moved to furnace location. 1:10 N~Ytuelf \ Price: -~ NotE: LUa-ter ~i\)il'\'J -k> ~ ~(r\\~'0cO bljDLDne(' cl LX' ~\ \eQ, i' ~ ,. . ." '5 FSDF lOoS! , All. ~. FO~y~ectronlc Air Cleaner or Carner............. Included In Base Bid. Alt. ~'P?or Honeywell Cfironotherm III Thermostat T8602............. .Included In Base Bid. PERMITS BY L/H, Inc. STAT WIRE BY Existing GAS/REFER PIPING BY L/H, Inc. CHIMNEY L/H, Inc. CUTTING BY CMner THERMOSTAT L/H, Inc. ELECTRICAL BY L/H, Inc. PATCHING others PVC T8602 Progranmable LEONARO/HILLMAN INC. is registered with the State of Washington, regiStration no. LEONW126R7. as a general contractor and has posted with the slale a bond or cash deposit 01 $6.000 for the purpose of satisfying claims against the contractor for negligent or Improper work or breach of contract in the conduct ot the tontractor's business. This bond or cash deposit may not be sufficient to cover Ii claim which might arise from the work done under this contract. "any supplier of materials used in your construction project or any employee of the contractor or subcon- tractor Is not paid by the contractor or subcontractor on your job. your property may be liened to force payment. If you wish additional protection, you may request the cootractor 10 provide you ...1<- with original' 'tien release" documents tram each supplier or subcontractor on your project. The contractor Is required to provide you with further information about lien release documents If you request it. General information is a160 available from th~ .Q!l.Q!r![te.!!.t of labor and Industries. ~*126R7, EXP. DATE: 12/27/93 Payment terms are net 30 days 'ollowlng date ollnvoica unless otherwise specllled below. Accounts past due will be subject to the maximum allowable legal rate. II suit Is brought to collect any money due on this account, purchaser shall pay the cost of collecllon, Including a reasonable attorney's ree. All mateflal Is guarante.d. to be as specIfied. AU work to be completed In a lub. stantlal workmanlike manner according to specifications sUbmitted, per standard practices. Any alteration or deviation ,tram allove speclftcaUons tnvolving e)(tra costs will be executed only upon written orders, and will become an extra Charge over and above the eUimate. All agreements contingent upon strikes, accidents or delayS beyond our control. Owner to carry fi,e. tornado and other neeenary in.. suranee. Our workers are fully covered by Workmen"s compensation Insurance. ~~:::~::v .. (A~~'- vf: I/V~~--, NGte: this 'proposal may be .J . wlthdrlwn~u( if not accepted wilhin dlYs. ACCEPTANCE OF PROPOSAL Th. above D,lce" ,oeellleallon, and condl, tlons are satisfactory and are hereby accepted.. You are authorized to do the work as specified. P~yment will be made as outline above. Silnlture Date of Acceptlncf: '- Sianiture / . rrr:~~~_~~"'.""'~""l.'&"l."l').'l.').'l.'l.').~"J.,&~l,."\.~')."J.').";l~~tl.~':o.~"":.':.'&""':o."".'".....').~'\~').').".......")."l.')..."")....I'&~...._~~~-~~~;X~-~~~\.i:.;;::;::..:..:~,:;.~:..~~:~~~~~<<~~~~~? ':1' ' DEPARTMENT OF LABOR AND INDUSTRIES Ii: I:, , ,': , ',;' :, c ci N'S T ' , I .' f C(Q:,~' ~ '. ~~.,~, ,THI~, 9e:!31~fJ~~:Tf::I,6.T,:r..H.!;}).ER~o.t:I_ ~,~M.e;D"'iEREON IS REGISTERED AS PROVIDED BY LAW AS A cn~~~ti~j~f!~~~~1f~~~;;~~f,f;'~1;~ AEGISl'RA'l'" ~i,t~f,r:~l''';~';\E)(~IRAT1OIlDATE;'\ .<": _ ";':', ,i;jtt" ~,~:,':;~~A; ;iiX';ii:~":~ :r'~:;i ,. t.. r-;:~>':,i4' "'~J)" ~. "i:I;iS; 't1'~;~\';'8". '8- \:; > ~ J): I \.; ;~;'. . . Go ". Co I.L. "i'~ . .,u'''.: ."!'){i~1~':, . ,~}~(~i'i, ::;}ir/~{fn:~.iti,:f I; LEONARl>'J11LL::KAH 'lNC ....;\':.:'.(<.J~,,>('.i-," 5,695 ,lMPERl:,.L;f\W.^:"':l'S ,t\i:;{~'::\': \~:: '.':' p 0 ~ T . ,O'~'~ J'*~~1:1l:~ti.:):h- -:\:~~::~S(~ ~-~~~:~ : ::' I : :,; .' .' '. .~....'..... ....:t......:_.,.. STATE OF WASHINGTON II:: " " : I ,: :j 'j " ,. :: " , (";u; :-:. . ~,,-:Y: '!.. 'I':I !:: I F625-052-000 {3.921 :: I _~~;:;:z:.~.~;~~~~~m~;.;~:.;:.~l:.~~;;:;'~;:';'V:;':::;:::'::::SZ;:~~~:':~~;':::'.:;:::'<<-::'~'~:'1>)JJ~J ,/ / r- VICINITY MAP i ;:rf}(Y In Jd rY 3;; 'j+J(Y) n \ , - 311N3~Y ,fJntJNi I .,. ~\ .~, ':"3 at! . (J(!,fl:'dM ~ \~ ~: ~\ ~ ~ ~ ~'J; -, . KITSAP COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT . I.. .' . . .. .... . . BBBMERTON BUlLDING'DEPARTMENT 'PIUJBbiRgJMechalllealIDSp~diOllltep.~ . Scope o:fwork:. .......'~. PlPlNG,,, . . .... Atldres$: .... ... ~Y01v. A~, .iS16 . . . Coot;rado'r: ....' i .. t.t:O~lRrrjrjYf'1\M. . ., . . , .'. Permit Namtter:" ,1'5094 .. ..OWller: .SOT'AK '. 'Phone:.' ],77~ '(Rzii . GAS PIPING ,:". ~sizi~&; sogpert '.' .'. .. Ceatedl~ w.henund~.wi.thm'6"Qteardi . B11$bJ. notaU~ in<io~areas' " /'- . Undermst(IQpsi fQrl$~Du~) ,... " 12"ltlillirtJ1Jm Ldow ~de WhCJHlIl~~uiad .. , . Gr~und.;"joint ~ons tohjbi~.i,n.oertaiJ;lI0QtimiS' . . . COMMENTS: ... : '. I.... . w.s~Ai>J>ROvW' . M~dlauer's s . 'fic::a.tUms, on site 'C~ee Co c:Ouibustibles .. VentlJi~'ni~ .suPP'onl<:onneeUOIIli '. 'C,J'!1&uStiOD :dr. , .. . . Gas'8L.ut~within3' ., . D,;<<s~sli#& '.,u.'. . insulated wIltW. or~/ . . . - ." . , 'j j , COMMENTS. .' . '.' '," " ., , ,\' , . '. '" ' . '. ..' '> ",' " ' -". " : ~ .... JIUllNACE' APP~tiVED: .' .. .~. . . . . . .. ........ ...lSj. '. - ,- ...... .... " ,.'. J" , ,'. > - '. " - " . . . . .,.. . , . . ~ . "'. > '. " '. . " .- ~'" ~; , ) 'MlSC..APPUANCIl8 .,' ~. \ ~ . " . , . .: COMM!NfS~. .. --...;... '. '^ W.&TIIII DUTER .... ' j .,~()IIS COMMRNl'S; . / '-"'. .f1vH;A , .. WAna HEATEll AP~OWD: . . _ _. . ..r..> ' .. __.~ ^__~W" , _ e e N~ 43864 () 0 .,... cJ <;_..., ') Fee $.m...................s?m..::.:................................m Receipt No. ......_::::::~..(..-::...::..~:....._..............u...... BUILDING PERMIT CITY OF BREMERTON BUILDING DEPARTMENT F. E. IRISH, Builcling Inspector . ESsex 3-1411, Ext. 36 v/ Owner's Value Bldg. Dept. o() $ / {/ {).~' Value DESCRIPTION: Lot Block Additions ~ ~ Address on Job _",~:L~__ .._.(XJ.~,%_*?."L. __ __ __m... __.m..mmu.. m __. __. ._..__ __.m .__..._. _____ Date __.__ ._2 .'::: .-fl. 00_: _z.?u____ ....0000__ Building _..m_.__..___. x '.m___m.m_ and 00_.____..__.___ stories mm_...m_..__._.... basement. Lot u_m._m.__.. x __..___..._.____ Front Yard ..__..m__m__..______ Rear Yard __m.mmmm....__ Side Yard .__.__....___mm.__.. Garage .m__n..._________.~._______ OCCUPANCY PERMIT REQUIRED BEFORE OCCUPYING BUILDING Zone ___...m._..___nmm__m..m.._.____ Owner __C~~;t_:d~t.::!,,/.._.__...d{.~;;l:.;;'~,Ii''"': _00 m __ m .____ _.. __. __. ____.. Address ___.__..__ __.__ ___.n __ ... ____ __'_.m.m_. Phone _m__ ___ '__m__ Contractor ----------.-.- ---______ _._ _____ __ _'_ _.. ___ _. _. ___ __._ _ __ __ __00 ___ __ __ Address .____._ __. ___ __ ___ ___.__. ______ _._ ___ _____ __ Phone ______ ___ ._____.. This permit is iS$,ued for: . c.""~-.t.~-;.1'..----- -;2C.-?:.r;:{,;,,,'d'..-~-------n..--.--~..,.-:.7::"~,f.~-._. -;??-I.'t-..!.:~'''':.-.-.---7::tf.d.-~~:.ti..',;:::,:,I~~--- ..L<.",,:::;,,::~...~_.__ ___.._ _._ _00____.. _________ ........................................................ --....-..............................................................-......-............ -oo...... __.. __ __.. ........................................._ __................. __............................................................ ..__........................... _................ .................oo...............................................- - - __ - - - - - - ~ - - _.. _.... ~..... _.._ - _.. - - _..._.. - - _..... - - - - _.. - - - __ _...... - - _.. - - - _.._ - _.. - _... _.... - - - - - _.. - _.._.... __.... _.. - - - _.... - - ~...... - - _.. - _.... - - _.. - - __ _......... _..... _.... - - _.._ - __ - __ All work to conform to all applicable building ordinances and amendments. Please note the following special instructions and requirements. DETACH HERE AND POST THIS SECTION ON JOB INSPECTION - Reinforcing steel must be inspected a,fter placing and before covering. FORMS shan be inspected and approved before pourirng. All plumbing, wiring a,nd the fralme of all buildi'ngs must be inspected and approved befolre covering. Wood preservative to be used on all wood against masonry. Ventilate foundation and a,ttic. Sepa- rate permits requ'ired for plumbing, wiri'n.g a,nd heating. See City Engineer before worki1ng on streets or sidewalks. - - -.. - - - --.. - --...... -.. -..- -...... - --- -.... - - -.... -.. -............ -.... -.... -.... - -.... - - -.. -.... - - -.. - -- -..- - - - -- -.... -.... - - - -.. - - -.. -.. - -.... -.. - - -.... -.. - - - -.. - - -- - - -.... - -.. - - - --.... - - -...... -... - - -. --.. - -.... - - -.......-......- -..... -... ......... .. - - -.. - - -.. - - - -... - - - - -.. - - - -... -.... - -.. - - -..... - -....-.. - - -... - - - -.. -........ - - - - - - - - - -.. -- - -.. - - - -... - - -- - -......... - - - - - -... - -... - -.. - - -.. -.. - - - - - - - - -... - - - -- - - - - - - -... - - - -... -..... - - -... -.. - - -.""'- -........ -...... - - - - - -... -.... - - - -- -...- - -.. -..... - --..... --.. - -... - - - - -.. - - - -... -- -..... - -.. -.. - -.. - -... - - -....... - - -.. - -... - - - - -.. -- - - - -... - -... -.. -..... - -- -........ - - - - - - -..... - -- -.. -........ -.. - - -... - - - - -... - 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By - - -. - 0 _. _. _ _ _ -~.f.:L:, _, _ _ _ 0.- _ _ c. _ 0 _ _. _ _ _. 0_ _ __ _ _ _ _ _ _ _ _ __ __ _ _ _ _ _ _. 0 0 _. _ _ __. _ n _ _ _. _ __ I ............. OF ~ . 3U _D \IG ~=:tV1-:- .N~ " 2802 A City of Bremerton, Washington Phone: (206) 478-5281 OWNER'S VALUE BLDG. DEPT. VALUE PLAN CHECK FEE RECEIPT NO. PERMIT FEE RECEIPT NO. DATE $ B.l~ ~ $ I? 00 - S.ft#-7" ~/2- ~o $ SITE ADDRESS I LOCATION /,p 6 ~ V t:?~ OWNER'S NAME J~(/6?/f" Le.P~ ADDRESS CONTRACTOR _~~~ PHONE STATE CONTRACTOR'S L1C. # ADDRESS ~ RESIDENCE 0 BUSINESS PLANNING I ZONING PHONE o OTHER 0 NEW o REPAIR o REMODEL )f" ADDITION 0 DEMOLISH OCCUPANCY FIRE ZONE STORI ES THIS PERMIT ISSUED FOR: btl' w , /-~c..e- , 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 0 Framing 0 Plumbing 0 Electrical 0 Wallboard 0 FINA~ FOR INSPECTORS USE ONLY: REINSPECTION: NOT TYPE OF INSPECTION DATE TIME PPROVED' APPROVED COMMENT DATE TIME APPROVED FINAL INSPECTION APPROVED BY Building Inspector ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYING BUILDING OWNER'S SIGNATURE ~ LA. J liJ'-l?~ BY ~uthorizedA t ~ r # BUILDING DEPT/ ~ . r_ ~ - '. 4862 A V au L)'\JG ~='~v1 'N~ City of Bremerton, Washington Phone: (206) 478-5281 $ ?/111 RECEIPT NO. BLDG. DEPT. VALUE PLAN CHECK FEE RECEIPT NO. PERMIT FEE $ F& 1'rB- $ SITE ADDRESS I LOCATION / 0 & OWNER'S NAMEJ:' ~E,,8 ./.=--tf) A .,I:J,.. v,,~ ADDRESS ,f~ STATE CONTRACTOR'S L1C. # PHONE o OTHER o NEW ~ REPAIR o REMODEL STORIES THIS PERMIT ISSUED FOR: A/e LA ) .. If CJ(J~ /"2; &0>-. t'?.Y"...P E?.-. ;:; . DATE t:f:) . ~ ~.:? PHONE INSPECTIONS REQUIRED: Foundation 0 Framing 0 Electrical 0 Wallboard 0 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 locall<l;w regulating construction or the performance of construction. Plumbing 0 SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL. FOR INSPECTORS USE ONLY: REINSPECTION: TYPE OF INSPECTION DATE NOT APPROVED APPROVED COMMENT DATE TIME FINAL INSPECTION APPROVED BY Building Inspector ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYING BUILDING OWNER'S SIGNATURE t2n.h;u a ,/J? dP.,6.pdl~ BY BUILDINGDE~~ _ FINA~ TIME APPROVED