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WRIGHT AVE, 3217
�. � ��E"�f�F��i"�!� MP'��� � `f' G�NTEl� . 28� �th a�r���:o �'r�mer�on, GtA 9833.� �-'P�aan�� c'��4 ) �4.�8-5�?.75 F�AX: t 36� ) �d7B-5�78 � BUILDTNG PtRMIT ;fc�ka �;c:lclr� ::1?.l7 WI'�;I(:�f•I`I'� �VE: WE:rmi�: Nca� y�)..�..qC�;;�f� . l...c.��.��:�r;i,car�� ���:'l.� WF?'�Ia1�i7' F�VI:: ;7'!:�:���.1�^ :t�>.��1,lI�::I;) E��:�'r G:r::,I Nr��� .�i6�'��:3f.)C)1...,C�;+1,�-Ot�C)Cl �1Fa��1;i.t,�c!�� C)9./�;'E3/1,y�?�' l'�;�aucacl� O 1./,.r�k�/1.y9S� (t.E;,E.:�:l.X�a��r'��1; � V(1�1(::c�1�•:>;71.�:,!� :7'f::C�h?Y c3F,0....�,<�R,.�,.:�F3"I'1 I::xri:Lr�::;.>�; OI/x I/1�,'�i'r� ] 7��';' Nl�f ��r:CI...VI=;:i� :�a"f F:il�tf�;'M1�:42'I"t::1N I�In 5'F:i�:i].l (�wr�i�.,r° V�1NF�1:1'.�:>."-.;N:Ny :.)'i:�R4�Y ;��,t:).....F�°�`<�•-��=,�i'7.1. x;ia;,�i' PdW�s��l:I...Vr:�t .;.1.. Hl��F:MF::f;'1"CJN W� y�:3] t f;:r,-�r��l;;���c;:�ar� ':>i��l..f= I,..r.i�: ��° ';�kI...I� l::x`�a �:;t.it���:r:�r��i:r;: frt:;:��;;� :f N�;'fF�l...l... Nk�W �a�1::, F��:I'FtF:I:��..f�f,.;E�: �NCI C"1'F'�:C Nl'�a �ff��t,.}�.,�.�..K�K•3(••�t'•;(•K�if?t•Y�(3i..�„y�,�.�..x.s�..M D(•#��D4��E�M•A•R•�.,y?(�..pr.x.x..�„�..x.,�..x•#•D(•K•�i(•3(•�x•�f•3f#•lf�(•x•�(•�#•#•�(��(�(�1(�k�(#�F�)(�3(�3'r 3t•K•�(•�?f 3(..�..�..x.�q..�..�..?t D(�f•iF4E•k•��E 3f 3(..x. U��3:1,�A�:��h�cjr� � f��;rmi�; 1='r.:r,:a; ;3��„;�s0 "f'cat;r��. f,.;�],c:�t7.��i;�:cl f�F:��� �:lti?.=3G .C�C� � i�l,r�n i::hf�c;k I��c��r.;�,° .,O(� �rit�i.t::�c�r7�,�1 i'�'k.�::s4; „C�n � C)�l';a»�r F'r:•:���,;; .()(� 'i�rri:r�:l, E���:�'m�.'t F'�:F-:� "E.�'„�3�) �M�(..�..y;.�..�.,;..�,�,.���J;Dt�k•3F•3E.Y..}�k,.x x,.�.�..x..x.�,.tt..M..x..�%�t••�•R�t••�f•34 3:�#•x��f•k•#�3�3�•�t•x•�F•Y��(3(•�t•�F#�i�#�(•�t•�t•#•9k#�(•�l•�(•3t•�M•�4•�S•DE���•x�f•�E��•X�#�{3��E�(��t••�t��i.�..�..�.,�..�..x„y� f�F.ChANICAL/f��11�1BING FIXTl1RES-�•• MECH-•Wood/Pel let Sto��....:..: 1 MECH-Ga5 Pipinq �ou�lets 1....� 1 ` , �;,��x•x•���x..�,.�;..x..�..;��c��c����,.�..�.x..��x�..x�.�..�..�..�..x�����x a;..�.�,.�.�,�;.�,.M.x..�..x��ac��x��x����x•��x,�..x.x.�,.x.y,,�x�x�x�t•�•x��x��s•��c•x a���•x�x.M.�.�..�;�x,.�..��x•�•�x�x�a�•x��•� �rhi5 p�rrit shall ber,c��e null and vaid if the huilding cr work authariaed by this �ermit is nat Gammenc�ci within 18b day� firom the date uf such pPrmit, or if this �uilding or work autharizEd by such p�rmit is suspended or a�?�ndcned at any time after ths wark ia commenc�d far a period of 180 days. N�1'Tf.:k -- TL is �hP responsi.bility of the permiC holcler, not the City of Bremertc,� or Building O�ficial to see ��a it that rc;quir�d insp€;c�iens ar� made. The permit holder must no�ify the Building OfficiaL when rea.dy for irlS�]E?CCiCflS. �'�ilure af �h� permit hnlder to notify Che guil�lfng Official of requirEd inspections may result in Cw�e stop�a�� ofi the wark until such time that tfie permit holder can substantiate tb the 6uilding official ���at ti��, canceal�d work mee�s or ezceec�s catle requirements. Ariy demalitian, testing� or Financial burden shall i' !ac borne tlirectly by the permit hulder. Failure ta substantiate code r�quireme��s will indemnify ths City :; agair,st any anr! ali responsi�il{ty a� liability cnnnect�d with the construction. "" z her�by c�r��i�y �hat I have read and ezamir�ed this permit and know th� same to be true and corrEct. All pi"CaV1S1011� q` laws and arciiriances gaverninc� thi5 �ype c�fi wark wi11 be c�mplied �ith whether apecified h�rein �r� r�ati� 'i'he grantin� af a permit clo�� nat pr��ume �o �i�e authority to violate r�r canc�l th� provisions of r,ny n�,h�r s�ate c�r lacal iaw regula�in� eonstruction nr the performance of con�tructi�n. ka�i���'rE�a-===---------==�� _-_--=--=_---- •-�-___-_-____ @����_==)�a����=____�___�__�_-_� 1 c;e�rwify that I am ex�mh�t from th� rEquir�ment� of �he state contractor's re�istration law, und�r� 5 ;ta�n 3, Chapter 12hn laws of I967, i �n�ture;�,���� ,_____�_.�__..�.. _ ..�__,__..___..___ Dat�:_-���1_��--_.___.__.-----_.�__ I;�..,��,.�..�..y��.:�..�..y�,�;..���•x��x�������c��x..�..�,.�..�, ' - f���:;r�m i��� C;F:,►�i��F=:r•..,. ..Ft�,��:�rc�v�;�J N3y�.......,�a ._,,.._....,.......,_.,.. 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' P1wubl��g/Mecr�aiticaY I���spectlon Iteport Scope of work: �'4-s . s-��-e_- Peniilt Nutnber: �"�p�`� Address: 3 z � � wr y�� �4�-� OvrrYicr: Co�itractor: Pl�o��e: :' GA.S PIPING Under test(10�►si for 15 nunutes) I'ro�xr sizin�&eu port (2" �ninl�mun Lelow�rade wlien w��Ier�round Coatc.1/wral'pal w6cn�mdcrgrow�d or withih 6"of artL Ground-joint union9 �rohibi�ed in«r�ain Ic►cariuns ilus6in�s n��t allowed in conccakd area� COMMCN7'S:---- - ------ ---------- -- - GAS PIPING APPROVCD:_L%'/ �_����� � � PviuvACB Mu►ufiaurer 9 9�ficacio��o��eiic l.oation,acas9,suyport Cleanncx to eo�nbustiLlea Ve��ting:ekaranae tu cotnbu.r�iblw Vtllt 91t111�8C 9U) ort/conrxctio�u Vent t�rtnination (:ornbuycion air Cl�iinney:liucr and/or scparate Aues as roquicocl Gas s6uc-ofY'wichin 3� Pilot ekvatal ofM�floo�ir�arage i Ducx9:yiu&�u �ordi�uulatecl when rc uir«l ILcturn air COMMENTS: FURNACE MPROVF,D: MISC.APPLIANCES ManuCacturer'9�,K�r�utions on yite I,ocation,accrs9,sup��ort Clearance to combustibks Vei�tin�_clearanoe to cotnbuetil�ks Vent sixin6' 8C 9upYorc/conncuions Vent tcr�nination Cotnbustion air CLi�m�e .lioer nruVor sepuate(luay a�roquirul Gas shuc-o(Twi�l�i��3' Wo�l stcrve& firePlaa�v: ro 6arth Wood atmee:CPA aj��raved Ga�lug�:�afcty�hut-o(r Wo«1 stmcy& fircplaoca:tight fitti��dcwre Gas 86uc-ofY'wicf►i��3� COMMENTS: �`"''� �r^�-�� G'r 7- �, MISC.AI'PLIANCES APPROV�D: �/ / WATBR IIEATBR � � Manufacturcr'�s 'ftution�on site l.oution,acoa�,su ort Ckarauae to combustibks Vnning:ckannoe to combustibks Ya�t aizing&eu�ort/cainouiotu Ycnt termi�ution Combuetion air Chi�i►nty:lina uxl/or separate(lues ae e�«luirod Gassliut-o(1'witl�in3� r�i�����«�o�rn��;��_ � Gate vabe on cold watei sup�ly ILelief valve drainod to outside Co to aFvanized coru�ouions Unione on water�ipa Scie�nic stra COMMTJVTS: WATER H�ATLR MPROVCD: . AILL WOI�K UNDIIt TIII5 PIItM1T APP1tOYID: � G- �-� � � i -. . :. ... .. .... . . � . . ::' >:�:�..�.;����.,���.������ �.:.�. ...::� . .=��:>..�:;.��.:.. ::. :. . .. . . . � . ..: . . .... . .: . :. . .. .. : . . � . �3�E�r�i��.'tD#xy;�� ., , 9�,��7 '�tme; 3+tiQ 4'�`S»;�2`�5:�.t� �# '4��*���:. _ �� MEeHA1�I�AL � FLUMB�I�T� Type of Fuel: Electric Gas Oil Pro ane Occupancy: Residential Commercial Site Address: �� j 7 ��✓�"1 R�rv� �.I ��'�'e-YYl � � � `�3 1 C� Owner: T��' p�j� . Contractor: �'��Y'r(` 'v�l'l� 5 U Address: �'� "�c� fs � � ► I V�r Sl Address: 1'�1'�.�1 N u� S�� 1 V C:-U �1 ��re.; � �1 �r . Phone: �9� ^ 5��-� ) Phone 3� 6�f "� � �� Contractor's License�tumber/Expiration Date: �-�3w � -�a i -c��c�c� No. TYPE OF EQUIPMENT No. T'YPE OF FIX TiJRE R1u�IGE WA'CER CLOSET Cx10UD/PELLET STOVE/GAS FiREPLr10E BATHTUB GAS FUR'�IACE btu: LAVATORY(bath sink) CONVERSION SURNER bcu: SHOWER UNIT I-iEATER btu: KITCHEN SINK BOILER btu: DISHWASHER GAS PIPItiG L.��1UivDRY TR.AY EVr1PORATION COOLERS btu: CLOTHES WASHER AC UNIT bcu: W�1T'ER I�?�TER HEAT PUMP b�u: URINAL REHE�IT BOX btu: DRINKING FOUNT.aIN :�IR H.�NDLING Wi IT bcu: FLOOR SINK OR DRAIN E�ir�UST FA�tiS SLOP SINK Rr1NGE HOOD(residenri•rl} W.ATER PIPL�IG&t1LTERA'ITON R�1NGE HOOD(comme�tal) GREASE 7'Rt1P/INTERCEPTOR CLOTHES llRYER f-iOSE BIBBS [VCINER4TOR LAWN SPRINKLER SYST'EM DC'CT:V.TERATION SWI�tiII�fING POOL T��IKS rype: BLDG.SEWER(mobile/moved house) REFRIGERATION UNIT ROOF DRAINS OTHER: OT'HER: it�tECHA.�IICAL FEES: PLUMBING FEES: CITY SURCHARGE: TOT�I.FEES: ��`° / APPLICANT'S SIGNr�TURE. —V DATE: � ,- � ., ,. . � .� , � , � ,• . , : �r..�t:,�,;,�,.y�..ph,.p�„f{.a�.�,.;s,..�.;:�.-`f�.�::•,<.�.s.�..�..�.�:.�;..�:.�C�,�..;�.�.:,n.:i..�..as,.�,.r�:.�.�.:�t �y.3':�. ;?;. .ya. .j<.,t:�{ , :�•36'•'. 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CHECK FIREPLACE FOOTING 4. pROPERTY STAKES 10. ANCQR BOLTS 5. FOOTING WIDTH &DEPTH 11. F4UNDATI4N VENTS 6. SOIL BEARING O.K. 12. GRAWL ACCESS � C�MMENT�: N= '4l�ra�e�. �'�ti%�� S / FOUNDATIOI� II�SPE TI � �'`��`�s �' P"`��'4� �`"`;-� �N s�/�� ��, �'`L �L�'Yfip Gr/� i„�pe��r�;.., `.� 1'a F� �Jo1�K. APPROVED BY; D�D£ � 'P,s k�, �.. g- t7- f�o �� F RI�M I N� �0. FlREBLOCKING STAIRS 1.WIRING APRRQVED �ROP CEILINGS 2.FOUNDATI�N VENTS TUBS OR SHOWER9 3. SHIELD UNDER POSTS R40F�CEILING LINES 4. P4SITNE CONNECTI4NS FURRED 4UT AREAS 5. SOIL TO WOOD CLEARANCE FlRERLACE AT CEILINGS b. BEAM SURPORT HaLEs PLUGGED TOP �BOITOM 7. TR. MAT. NEXT TO C4NC. LID IN VOIDS 8. WASHERS ON ANCHOR 80LTS � 21. WINDOWS 9. BEAMS PROpER SIZE MEETS ENERGY CODE CLASS 10. FLOOR JOIST SPAN ' SAFETY QLAZING 11. N4TCHING &DRILLING REQUIRED FlRE EXfTS 12. STAIRS . WINDOW SILL HEIGHT WIDTH 22. CEILING HEIGHTS RI9E &RUN 23. SWAY BRACING WINDERS 24. TRUSSES � LANDINGS PR4PERLY INSTALLED HEADROOMM STAMPED 13. ATTIC VENTILATI4N {upper�lower) PROPERLY BRACED � 14. CHIMNEY 9TRAP9 9ECURED 25. ATTIC ACCE9S 15. FIREPLACE COMBUSTION AIR 26. RAFTER S�JOIST SPAN �6. FANS VENTED TQ �UTSIDE 27. ROOFlNG, FLASHING, SHEATHING 17. WATER CLOSET CLEARANCE 28. 91DING 18. SMOKE DETECTOR 19. SHEETROCK BACKING COMMENT�: • UNDER STAIRS ABOVE GARAGE D40R HANGERS FRAMING IN�PECTION APPROUED BY; �� IN��ILATI�N c��MEn��s: y. PR4PER R-VALUE � 2. VAPOR BARRIER 3. PROPER FASTENINQ INSULATION IN�PECTION � APPROVED BY; � 1�1E�HAIVI�AL � � HVAC APPROVED 8Y: 1. PERMIT ISSUED 2. FURNA�E LOCATI4N GA� PIPI�IG APPR�UED BY: 3. FURNACE CLEARANCE 4. 'B' VENT SIZIN�a �� 5. 'B' VENT CLEARANCE 1. WOOa STOVE CLEARANCE 6. 'B° VENT SUPPORT 2. CHIMNEY CLEARANCE 7. COMBUSTION AIR 3. HEARTH EkTENSION � B. DUGT SIZING 4. CHIMNEY HEIGHT 9. DUCT SUPPORT 8�JOINTS 10.GAS PIPING TEST WD�T APPROVED BY: 11. �iAS PIPE SIZING 12. GAS PIPE SURP4RT CO(IAMENT�: � PLl9M�IfVC� 1. PERMIT ISSUED 6. PROPER FCTTINGS 2. UNDER TEST 7. REQUIRED CLEANOUTS 3. WATER RIPE 91ZING 8. PROPER GRAaE � 4. DWV SIZING . 9. HWT PRES. RELIEF VALVE &UIVE 5. PROPER SUPPORT 10. SEISMIC 5�RAP . CONIHAENT�: I�NDERGROUND APPROVED ROUGH-IIV APPR�VED �Y; BYo c� itIIALL��AF�C� �. �IRE SERARATION IN GARAGE 1. LID OVER SIDES 7. ATTIC ACCESS 2. NAILING 8. DRAFT ST4P IN A1TIC 3. W�R AT TUB 4R BHOWER 9. PROPER CON9T. OF FIRE WALL9 4. 5JB UNDER STAIRS 10. DROP CEILING 8�LIGHTING 5. FURNACE ENCLOSURE C�MMENT�': WALLBOARD APPROVED BY; 4 F��v�L 1. HANDRAILS 9. H4T WATER TANK PFiL • 2. GUARaRAILs 1 a, OVTSIaE GRADE HEIGHT 11. SOIL TO BIDING CLEARANCE - INTERMEDIATE 12. 9MOKE DETECTORS 3. EXHAUST FAN9 � 13. FIREPLACE HEARTH 4. WATERPROOFlNG IN SHOWERS 14. SAFETY GLAZING � 5. DI9FiWASHER AIRGAP 15. INSUTATION 6. FIRE D40R5 WINDOWS MEET ENERGY C4DE I.ABLED AS REQUIRED UNDERFLOOR S�ATTICE INSUL. SELF CLOSING WATER PIPE 8�HEAT DUCTS 7. FlRE DAMPERS INSTALL.ED 16. Wa0aST4VE APPROVED � 8. RENETRATION9 IN FlRE WALL9 17.WINaOWS &D4QRS CAULKED FINRL PLMB, APPR, �comm.) �OMMENT�: FINAL MECH, APPR, (comm, - �p r� o-� ��cLf F{!VA �UILDING APPi�. ro �c �o ���' ' - ' � L � � a �y��v-�W �P�-.�, �� , � . _____—_______ __ _ . , . i . , I � � ........._...... ...................._............._......._... . - - — - .. ... .�.. ...._.... ....... ...................... ... ..... ............�. . .... ..... ... . .::-': . ... . .. ._ .. _. .. _.... . _ ....... _.... _. .. ._.. ._. :.._ .._. ... � „ �I ..�,.........i,.. _ .... . ... .. J , .r.., ,� ;��i�..� i��� j ;;.l ����.� �..::I 1� .I ���:,��. .� � ;;;,+, � �x�,��;� � :'f"I ��i�":l.:; ' l I.�:,(;�.::�u...a;-i I.� ..I �.. . . .� ; � . ... I..� I �i��':.� � ;��:��..�.::����,,.; :.<r� .1���".I:�; I. ..f , � E:��:i;: .:.�1 I _i i.;�.a ic�wr; i ��l [. �; ��'��:�r•� i.. 1 �.1�..; � •�F- � r�=.;�.�. � [� :�; .,...:��..�;. ;� ':� t.��A ����:�.�. _, :-�c��:l I i .. ...:-��.;. ! •:=n�a . I. � i.lf':, � ',l•c?f.�lJ:�i�.!:� t.��..J. 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F�����r�r�,c::�_.::: i">t�r..�...c:°r <�; � I��i r::�:.;�(;�::::Y-::� ' !:.�i.;'I. �i:'1"E: . �,ais.c� (�)l.1'�: � t.:'l'.;:; . �:(':iC:i��.c::?'"i� r�.i.'i' �.�CIT'1(':� I I .I ��l'II.;1�:; !1T'1:! I •. • I �t•.::i:9� ���'U171j`�:= . ,. . ,. I.:.:....�..�t..:�::;�. I.i!.i;•;:,�:3 i�'i i 1"� I"�c:�(�![�t �. .I (1�� �_}i�i 7.�r�.:i . . . ��_.i:i�(I:. i�:���ri�:.��:., � ;,:��;.;�.:i�.� {..1'('Y�:iY':; �.T'1�: � '(i�':1�"�:il i.11'�::� t`I� ��f':;'T'i.��. .I [:t Yl�..': , T�.�r��<, F?i�:I't i.�3 F::t'���t: .I i:a r'� (.J rl:i. ;.;::� i�il:r���=�i l� i.;��r�i;:: 4. 4. � �1 • . IN�PE�TIOI� �E�O�� CAR� � � CITY OF BREIdERTON BUILDING DEPART�lENT 10651 PERMIT NUMBER ADDRE99 - 3217 �JRIGHT AVEPJUt � OWNER - P,TI I i arv PHONE �`��-�7�q . CONTRACT�R � S E L F PHONE 1 F�UNaATiON 1. pERMIT QN SITE � 7. CHECK FOR FILL 2. CHECK PLANS TO PEAMIT 8. REQUIRED STEEL IN PLACE 3. CHECK SETBACKS 9. CHECK FlREPLACE FOOTING 4. PR�PERTY STAKES 10e ANCOR BOLTS 5. FOOTING WIDTH & DEPTH 11 e F�UNDATI4N VENTS 6. SOIL BEARING O.K. 12. GRAWL ACCE9S caM�E�vT�: FOUNDATION INSPECTION APPR�UED BY; �A F F�A M�N� 20. FlREBLOCKING STAIRS 1.WIRING APPR�VED DRa� CEILINGS 2.FOUNDATION VENT9 TUBS OR SH0INERS 3. SHIELD UNDER POST9 R�OF &CElLING LINE5 4. P�SITI1lE CONNECTI�]NS FURREQ �UT AREAS 5. SaIL TO WOOD CLEARANCE FlREPLR�E AT CEILIN�S 6. BEAM SUPP�RT � H�LES PLUGGED TOP &BOTTOM 7. TR. MAT. NEXT TO C�N�. LI� IIV V�IDS 8. WASHERS ON ANCHOR BOLTS 2i. WIND�WS 9. BEAM9 PROpER SIZE MEET5 ENERGY CODE CLA58 10. FLOQR J�IST SPAN SAFETY GLAZING 11. NOTCHING 8� DRILLING REQUIRED FlRE EXRS � 12. STAIRS WfNaOW SILL HEIGHT WIDTH 22. CEILING HEI�HTS RISE &RUN 23. SWAY BRACING WINDERS 24. TRUSSES LANDIN�S PRQPERLY INSTALLEa HEADROOM STAMPED 13. A�'IC VENTILATI�N {upper &lower) PROPERLY BRACED 14. CHIMNEY STRAPS 9ECURED 25. ATTIC ACCE9S 15. FlREPLACE CaMBUSTION AIR 2b. RAFTER 8�JaIST SPAN 1 b. FANS VENTEC� TO �UTSIDE 27. RO�FlNG, FLASHING, SHEATHING 17. WATER CLaSET CLEARANCE 28. 91aING 18. SMOKE DETECTQR 19. SHEETROCK BACKING �011II M E NTS: UNDER STAIRS ABOVE GARAGE D40R HANGERS FRA�IING IN�PECTION APPROVED BY: �� IN�IJLATI�N COMNlENT�: 1. FROFER R-VALUE 2. VAPOR BARRIER 3. PR�PER FASTENING INSU�ATION IN�PECTiQIV APPROUEa BY. 'r lYl ME�H�IIVI�AL HUAC APPROVED BY: 1. pERMIT ISSUED 2. FURNA�E LOrATICyN GA� PIPIN� APPROVED BY: 3. FURNACE CLEARANCE 4. 'B' VENT SIZING �� 5. 'B' VENT CLEARANCE 1. WOaD STOVE CLc.ARANCE 6. 'B' VENT SUPPORT 2. CHIMNEY CLEARANCE 7. CaMBUSTInN AIR 3. HEARTH EXTENSI�N $. DUCT SIZING 4. CHIMNEY HEIGHT 9. aUCT SUPPORT 8�JOINTS _ %,` 1o.GAS PIPING TE6T WD�T APPROVED BY: �T� 11. GAS PIPE SIZING �, 3��9� 12. GAS PIpE SURP�RT CaMMENTSo p PLUMBING 1. PERMIT ISSUED 6. PROPER FlTTINC9 2. UNDER TEST 7. REQUIRED �LEANOUTS 3. WATER PIPE SIZINu 8. FROPER GRAaE � 4. DWV SIZING 9. HWT PRES. RELIEF VALVE &UNE a. PROPER SUPPORT 10. SEISMIC STRAP �a��E�vT�: IJNDERCROIJND APPROVEa ROU�H-IN APPROVED BY; BY; � WALLBOAR� �. FlRE SEPARATI�N IN �ARAGE 1. LID OVER SIDES 7. ATTIC ACCESS 2. NAILING 8. DRAFT STOP IN ATTIC 3. WJR AT TUB OR SH4WER 9. PRQpER CONST. OF FIRE WALL9 4. 5j8 UNaER STAIRS 10. DROP GEILING 8� LIGHTIN� 5. FURNACE ENCLOSURE C�MME�ITS: � WALLBOARD APPROVED BY; 4 F��vAL 1. HANaFiAILS 9. H�T WATER TANK PRL 2. GUARaRAILS 1a. C7UTSIDE GRADE HEIGHT 11. SOIL TO SIDING CLEARANCE INTERMEDIATE 12. SMOKE DETECTORS 3. EXHAUST FAN5 13. FlREPLACE HEARTH 4. WATERPROOFlNG IN SHOWERS 14. SAFETY GLA2ING 5. DI9HWASHER AIRGAR 15. INSULATI�N 5. FIRE Da�RS WIND�WS MEET ENERGY CODE LABLED AS REQUIRED UNQERFLOOR &ATTICE fNSUL. SELF CLOSING WATER PIPE &HEAT DUCTS 7. FlRE aAMPERS INSTALLED 16. WaODSTOVE APPROVED 8. FENETRATIONS IN FlRE WALLS 17. WINDC7WS &DOORS GAU�KED FINAL PLMB, APPR, (camm,) ��MMENTS: FINAL MECH, APPR, (�, �' ��9D FINAL Bl�ILQING APPR. ��' �. �� �' A BUILDING �r' ERMIT N° 147 City of Bremerton, Washington � Phone: (206) 478-5281 OWNER'S VALUE BLDG.DEPT.VALUE PLAN CHECK FEE RECEIPT NO. PERMIT FEE RECEIPT NO. DATE $ 540. -------- $ ----- ------- $ 6.00 40439 3-24-77 SITE ADDRESS I LOCATION �l 7 Wright Age OWNER�S NAME Ro�er Sense ADDRESS S�,e PHONE • CONTRACTORM & M AZetals InC STATE CONTRACTOR'S LIC.# ADDRESS 626�ign� � PHONE ❑ RESIDENCE ❑ BUSINESS C� NEW ❑ REPAIR ❑ REMODEL ❑ ADDITION PLANNING I ZONING FIRE ZONE STORIES OCCUPANCY � THIS PERMIT ISSUED FOR: CpnQt $ g l0 Rhed a4 ner aePteh All provisions of laws and ordinances governing this type of work will be complied with whether specified hereln or not.The granting of a permit does not presume to give authority to violate or cancel the provislons of any other state or local law regulating construction or the performance of construction. INSPECTIONS REQUIRED: Foundation ❑ Framing ❑ Plumbing ❑ Electrical ❑ Wallboard ❑ FINAL � INSPECTION: FOR INSPECTORS USE ONLY: REINSPECTION: NOT TYPE OF INSPECTION DATE TIME PPROVED�APPHOVED COMMENT DATE TIME APPROVED FINAL INSPECTION APPROVED BY Bullding Inspector ISSUANCE OF OCCUPANCY CERTIFICATE RE�UIRED BEFORE OCCUPYING BUILDING 0 0 OWNER'S SIGNATURE BY� .a� � A uthorized Agent BUILDING DEPT. , APPLICATION FOR ,_,._������ � B U I L D I N G P E R M I T , � � C I Tl F BREMERTON �� BU I LD I NG DE + 2TMENT ��.. , .�.-�'� � PHONE : 479-5281 � o 00 VALUE $ . ���. � PERMIT FEE $ . .�o. PLAN CHECK $ . .+� RECEIPT. OWNER .�1 l��Gr: �i�kJS:-�. . . . . . . ADDRESS . . . . . . . . . . . . . . . . . . . . . . . . . PHONE . . . . . . . . . . . . . ..���,c':l. . .� E -T��f' CONTRACTOR 1'�':�cS. . �Ii.�-.4•. . . . . . . . . . . . . . . . STATE �� #�, .Z�G�. . . ADDRESS . li.�G�. .�f�.�. . �����:4✓.��:-: . � PHONE. . . . ADDRESS/LOCATION OF JOB . . . :3af7. . :'V.�.� .�Ff�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLANNING ZONING. . . . . . . . . . . . FRONT. . . . .� . . . . . REAR . . . . . . . . . . . . SIDE. . . . . . . . . . . . . . OCCUPANCY . FIRE ZONE . TYPE OF CONSTRUCTION. APPL I CAT I ON I SSUED FOR�: . . . .(� �C./.Q. . ... . . . . . . . . . . �:'� . . . . . . . . . . . . . . . . . . . . � . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SIGNATURE APPLICANT. DATE .3.-a3.-.7. T. RECEIVED BY �' PLANNING COMMENTS/REVIEWED BY . . . . . . . . . . ENGINEERING COMMENTS/REVIEWED BY . . . . . . . . . . FIRE DEPT. COMMENTS/REVIEWED BY. . . . . . . . . . TRAFFIC DEPT. COMMENTS/REVIEWED BY . . . . . . . . . . BUILDING DEPT. COMMENTS : ' PLUMBING REVIEWED BY. . . . . . . . . . - ` ELECTRICAL REVIEWED BY . . . . . . . . . . '� . BUILDING REVIEWED BY . . . . . r� Dr � L�-�c �� �"��. ��t� APPROVED BY C@MMISSIONER OF PUBLIC WORKS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DATE . . . . . . . . . . . . . . . . . . . . :---"'� . �-� l U S T4�2�1� E S''`�E (� ,. `4--5-..,^-1.� �o ��� �r �o�'- P� E2 ,�� ocl< �/o0 2 — 2 X �o S c7 •cl' �!o �.vc� C'e�1 �2rs (.v i � `r ��g P/yi.uoo � �D�CKi� G . GcJ Q L L 5 - � x � S p oC/ Z F T CP r���rs cv ;-� h / x � ����zo�T.�� 8,q�, � �r �c o� .� ,� ,�8�, i.n�.�� To �'! ��c H S �,D�� G • �o o � - �'i�4 �r /Z.oo F w ��!� �o i.c>G N � 2 a � . 2 � �s d �v 2 FT• Geyt �er5 ��y �.t� ao �J 5��32oa �" Lt� � ��i �EL i U A po/Z ,8,� 22iE2 . " Si D i•v C� � �"c.v :,c� 2 � �3 qG v�� •uv r-� t,vA//s q.� ra �L o o F, pfZ�' � v � G_ 7>002 � �G�4 :•uG /-�L u m�/► � �'z t� • N �0 O c.,J . `�1LONE STAR �/, /NDUSTR/ES Cement & Construction Materials Group �r~`'�. � . � ��. ti 8 F T t,�, .�. `�----.----� . 7 �lZ FT � •wq�z ; � � � , � I � I i � I ' I ' ' . I � S ii i � i � � i 1i ; � i Lv��/N� M ' ; f ;t; � � i ��0' '`� c'' " � ; ; j ; • ' /-fo2�2o.c,T�L• t DE ; � � � �! ' ' ` ' „ ' i ii � i , �C2 oNT ,, 0 `�1 LONE STAR �/, /NDUSTR/ES Cement & Construction Materials Group �, A'lo?P.. . .._ ,� ,=�f---_., � �F� � � ��c., � 5 �'�p � v ..� �� .� �Fr 2 o FT � � 1�°''� � � � A � � ��6--�� �.�,�s� � a � 7 GtJiPr Gt�i �tJ� , ,�2�irt . �,v�t9, ��i # � 7� ( ��� `�'1 LONE STAR `/,/NDUSTR/ES Cement& Construction Materials Group � ,, '� �' � ,`� � 1 .` �� N i� ��U 1 V Fee �--��--��•••�-....-••--•-...•••••....--••-••••••--- Receipt No..--.-_.._r_�...---�!...::/-'-•••-----••_--••••••-•••- ' , �• � BUILDING PEItPAIT ;' CITY 0� BitEMERTON • BUILDING DEPARTMENT � F. E. IRISH,Building Inspector • ESsez 3-14i1, Ezt. 36 Owner's Valu��,Bldg.Dept. Value�DESCRII'TION: ' � �JC/��I� Loti� Block Additions � ' ' " '�`"� .- 3� -�7/ � Address on Job ___-,Z�/�_------�-/��__��_�__��---------------------------------------------- Date ----�-------- - - ---------------- Buildin X -�------------ �d --;��-------. stories ------------------------ basement. Lot ---------------- X ---------------- � ---------------- FrontYard ------------------------ Rear Yard ------------------------ Side Yard _----------------------- Garage .----------------------------- OCCIlPAWCV,PERMIT R�QU�BRED BEFARE ACCUPYING �U6LDING Zone __________________________________________ Owner.-----�"-�__�`_�_''-_���=�'---(�_��i,���'_._. Address -----z_�:i�-------------------------- Phone ----------------- Contractor -------�----------!�------------------------------------------- Address -------------------------------------------- Phone ----------------- This permit is tssued f or: � f�� %''�� ���.:-�'/�= " .; _ , � �' '�'��= _�. ------------------------------•---------------f-'f;_c;.!'' Cir'�"✓ l�'.% Gi�z''�c��2�-yG�.>'�'3�.� , ,. . - - --------------------•--- ------------------------------------------------------------------------------------------ --- - - --- -----------------------------------------------•----------------- --------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------/--------------------------------------------------- All 4ti�ork to con f orm to all applicable building ordinances and amendments. Please note the f ollowing special instricctions and requirements. DETACH HERE AND POST THIS SECTION ON JOB INSPECTIOPI — Reinforcing steel must be inspected afteP placing and befare cove�ing. FORMS shall be inspe�cted and appeoved before pou�ing. Ali plumbing, wiring and the fraene of all buBldiaegs must be inspected and approved before covering. VVood preservative to be used en all wood against ee�asonry.Ventilate foundation and attic.Sepa- rate perrnits requieed for plumbing, wiring and heating.See Ci7y Engineer before working on streets or sidewalks. -----------------------------------------------------------------------------------•..---------------------------------------------------------------------------------•-------- ----------------------------------•-------------•-------------------------------------------•--------•-------------------------------------------------------------------------- -----------------------------------------------------------------------------------•-------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------•---------------------•----------------------------------------------------------------- -------------�------------------------------------------------------------------------------------------------------------------------------------------------------------------ -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------•-------------------------------------------------------•--------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- -----------------------------------------------------------------------------------------------------------•-------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------•--------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- -----------•-------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- � -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------------------•--------------------------------- -----------------------------------------------------------------------------------------------------------------------------------------•------------------------------•------- ' --------------------------------------------------------------------------------------------------------------------------------------------------------------------•-•--------- � . Owner s Signature------------------------------------------------------------- SY -------------------------- -------------------------------------------------- ' " �"Hit Aruhorized Agent Building Inspector ----------------!�------=�_'�-----------�'-�"-------------------------- /. - . %,s , �------- , ��.nF �7 '--- """:'�`y/�.!f���//'r:_�'J:.�f.C��l/::__/'---�------'-------'-�-'---'--- . . ' __ _ . .c_._ _'__._ ______' /f�/�/�/ C�:..� "l/ ` . . . , . . • ' . . , , . `. • , .. .. . . . . ..�;ti•q;�1; ,y.•; . . :'-"�Y.•,r•�A,"..i � ; . � � ; . . . .. � ' � .. �,• • . . •� , `��'� ' . • . . � ' - � � . ''�� � ' . , l' ' � �,� ' .. / •5: . �� 43341 p� �......_�....».:�._-_.-.•........._..............._........... Receipt No........:_�'.���:�'i......�_........_...�.._..�� . � I � � UiL��� � �ER� LT � CITY OF �REAAE�TOP� • �UILDINC DEPARYMENT � F. E. IR�SE�,Bullding lnsAettor • ESsex 3-1411, Ext. 36 • . Ownee's Value Bldg.Dept. Valne DESCRIPTION: � � �'�"�� Lot Block Addi6ons � Address on Job.w:..�c�t._e�.r'_.,::.=:�;....---...:�:�'ak: ��::::.................. . Date._ .�r_°:.�!a:?:��' Building -••----------. x ---------------- and .-----------�.. stories .._...._.._....._....._ basement Lot .----•----••---- X ---------------- Front Yard ------------------------ Rear Yard ...._..__.------------.. Side Yard ------------------------ Garage ---------•--•----------------- . Occupancy._ ,...__. ....._._._�._-•--...--•---------------•------------._..... . Zone Owner. _��:r��::�-------=��� ' dress..................... ----._.......-Phone--------...------ 1�--�-= .Ad Contractor,�...`�.�r�.!..:�..��:J y!�::t •.i:.�._. .���,�_.." ""'.�.'�"""..`-_.R,f�_..""""' "��"�,�a.��� ,; ` -�'` t=- -�-=�:��. ._. Address�,. .�-;_f��.�-=---r:�._�.� Phone.�r�i�� „ �� . Thas permit is issued f or: . ��-4�.�.,��.� ,;�.t'� -�----- r..�:---- �Cl..cf. e':.:Er'���.."""'or.r_�!�'yi.�d:..rr.:v'J�"""""'•'""'....._....�..""""""""'���....t..,.�'��� .........�._..�""..__.�....�_. ti..r � . .:-.'---.' '-----�-�-"- ---�'----•--..,--',-.-.."'.-'..-'.-..�................_.-•-"---."...."`•'.•-'-'-..........,..-.'-._..._..._ s_:'_ti�.`..-:c•i�::r_�e:-'ti.sF _:.'¢G ....�E.." ,.. .l¢' . y � . . . . . `��il�.i/-..�bc�f�.� ._�3r:�.1�M:Y._.��.w...�•.�...�..�.�._��...�.. ��_�.�.���.��..�.. � �w - .. . • ... ����...�.�.�� '�.���....�w�.��.. . AIl avork to cortform to. al� ctpp�acable bualding ordinarcces and amendmerits. Pleast nore the faldowit�g . special instrtcctitms atul requirements. , , • , DEi'ACH HERE hND gt�S'd" YHIS S�CTtON AAt J�B �RS��G�''t�I�T--Rein�tc�r�g stee#,n�usp be �tsspected$fitiar p,i�si�tg a�rd beCv. �esr�►er��g. �R1V�S shaN�e i�p�c��. _ a�:�.� aApravet�.b�for�e paterinv.Ati plun�beng,v+rirFt�g and th�fra�:e of afi btwydit��s�est be i�espereeted aetd appxowed . �.�rt+ c�;4ring. lR�aa�d preserrat�r►e h� bs use� o�e ait wa�os!aga#ast�a�anr��.V�tr-att�a#s�oundation.and a!t?sc.S�pa� . . .• rafi��r�na��nequie�e�for p�umbing,wir�r�g ami hea���.�+G�y Engi�eer 6efare rvo�ki�g on st�e�tc�ot sidewaiks. : �: - � _..�_.�.;�.. ... ...... ....._._.---._..._--------_-......---- ... _. ..._..---------..__.._....------•-•----------------•------..__.._..� , ..:....:..__._..___ . _ � . � �4�r.��KM��. �.��.�.����.�.�n�������r`����.�� . ���w��r���t������'��'�����_������.� . ..�.��_� � '��'��_'�.������'��r�����Y�n����������.• �..��. � ♦ ��.���r " ' _ /� ' • �• _ __. ' . — ��.. . . ��..���_.._�.__...�.�.���...�����.�..r��.r___��_._�__�_._�.�.����_.__�._.._• •.��_.�...����_��__�»�..�...n.��__...�.�._._��_.�....�._ �_.... .r....'•""...............�"Y."""----'._...."""""'�..."'...._..-. -. ._...""-"�.._.._....._.._..�..__..__...."'......_.�....__..."-..._....�..-. .--" ' ...��..ii....�................ ...."""'-""... -"""""'•"-"'"'-'-""....""' ^.""""•"'.... .�,...r.........�'•"'.....�,.... ........�..._..__.....""""" . ' ••:rr...•................................'""""""".-.."'."...""'""'"""""""'"""""" ......_.._. .�.. .........o.........•............................._.._...��. . ...... �w...�. •..�....�..... ..�... . """""•".....�..�"'"'""....""..-».�...��.""'...�......:. ...........r......•...�....... .,�............�.��......�.�- . ...........•.........�.. .......�..�_..."7" " . �,L._..__......"""�-._...""' """""' ',i' '._ .l. .s... .�j�.. .:f. ...._""""""`. ....�' .�'DO�Yl �S S`1�II�CLtiB�:� ,?.--�.:''.-. , �:.......--•----,...--•- -- B'Y l � ------•y---.�_...._::�.._:r, .i!,:..�r..t � ��,� -�- . ..t..._�..._.....::.'7Y.9.�....r_.."�' ' f ' HTi elrrtborized Agem �.' B�tilc�ing Inspecror ----•_------�-- -�..................._.--•-------•---...........----•--------•- -- � :� ��*' �F--------------�_....'._......__._._._.-•----....---------...._......_...._. .. ---__... ` •• - ,; � � i J � • � / a y- ° ; NC� 4 3 3 41 Fee $••••--•---••----------••-• -•----••-•--••----=---••••-•••...•-----.. Receipt No.---�---��775*��••••-----------•-••----••••-•--•- BUI �.DBNC P@RI�AIT CITY OF BREMERTON � • BUILDING DEPARTMENT F. E. IRISH,Building Inspector • ESsex 3-1411, Ext. 36 . Owner's Value �Bldg.Dept. Value DESCRIPTION: • $ �d`�� Lot Block Additions Address on Job--��-���-----��'--------'--��--�--.`_.;��`----- ------------------------------------ Date .---ii__.��=-'-'-�'--------------- . Building ---------------- a ---------------- and ---------------. stories ------------------------ basement. Lot ---------------- X ---------------- Front Yard ------------------------ Rear Yard ------------------------ Side Yard ----------------------._ Garage ------------------------------ OccupancY -,;----------------------------------------------------------------------------------------------------- Zone ---------------•-------------------------- Owner---��-�_,��------==���_��-�------------------------------- Address -------------------------------------------. Phone.---------------- Contractor.___�%�-�-�-y--=��,;`'__�„��:...��-----.�//----- Address ,p�_,�<�u�----`�.�'-�-X---- Phone����-9iI,� This permit is issued f or: ���'-��� - ��- � a�3-a�-/37?5� ._.s� .- =-:i��-----------,��, ..., ,�`_, � --------------------------------------------------------------------------------------------------------------- ----------- ------T------------------- . , -----------------------------------------------------------------------------------------------------------------------------------------------------------------------=-------- .., • � , � - � .�•�..�:/..�...L/ i ..0 �/r1L• ._..if i /�i.�.r iC a�?J f Q """" ""'""'""""""""'"' """"""!�"""'""""'"""""'""""'_""'c""""""""""""'""""'."'""""'""'"""""""'""'""'""'""'"'""""""'""" J �/ All auork to conform to all applicable building ordinances nnd amendments. Please note the folloauing special instructions and requirements. DETACH HERE AND POST THIS SECTION ON JOB INSPECTION — Reinforcing steel must be inspected after placing and befo�e cove�ing. FORMS shall be inspected and app�oved before pouring. All plumbing, wiring and the frame af alt buildings must be inspected and approved before covering. Woad preservative to be used on alf waod against masonry.Ventilate foundation and attic.Sepa- rate permits requ�ired fo�plumbing, wiring and heating.See City Engineer be�ore warking on st�eets o� sidewalks. -----------------•-----------------•-------------------------------------------------------------------------------------------------------------------------------------------- •------------------------------•------------------------------------------------------------------------------------------------------------------------------------------------ -------------------------------=-----------------------------------------------------------------------------------------------------------------------------------•------------ -----------------------------------------------------------------•-------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------•-------------------------------------------------------------------------------------------------------------...._. -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------•---- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------=------------------------------------------------------------------------------------------------------------------•----------------------------------------------- -----------------------------------------------------------------------------------------------------------------------------------------•-------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- - � ,-, ' --=--------•-••------------•--------'-------------------------� ----------------------------•---.....----•---•-•------------------------------------------------------------�---- , . �,. --------------------------------------��-------------=------=-�---------------------- • ----�;-----,�=;---------------------------- .l //1 .. n A/1 ---------------------}j-j-----;-q---� � �/ V � // 4`�T"l/�"'�-�y �•_ J�,/l ��/// � ' `i�.. Owne 's Si /ature---'---�-------v'----------=--------•---------�- ------ B -=---= -�"'- --------- ,g ---------�---- �, � � i ,.,. . . Y:::=� - ---�----------------- NiJ Authorized A ent Building Inspector --`---�'=--�'--=-='---�'===�-------------------------------------------------------- .> �oF Bv -----------%�--`-='-=------------------------------------------- � ._. , � o ,. N�' 4 3 4 9 5 _ ---------------- Recei ��o, � Fee $•-••-------------------•••---------------------------- 'pt No.._....------`----------------••-•---------•---•------•-• � �JILDING PERMIT � CITY OF BREMERTON • BUILDING DEPARTMEPIT F. E. IRISH,Building Inspector • ESsex 3-1411, Ext. 36 Owner's Value Bldg.Dept. Value I DESCRIPTION: � �� Lot Block Additions Address on Job-���s----y'�/�-�---�-�------------------------------------------------------------- Date _,_�_.�_-�.�-------------------- Building --------------=- `� ----------------and ---------------- stories ------------------------ basement. Lot ---------------- X ---------------- FrontYard ------------------------ Rear Yard ------------------------ Side Yard -----------------------. Garage ------------------------------ ' OccupancY ----•--------------•------------------------------------------------------------------------------------- Zone ------------------------------------------ Owner__.,�_J__/1�=----�1.��,�.o---------------------------------------------Address -------------------------------------------. Phone ----------------- Contractor�------------------------------------------------------------------- Address -------------------------------------------- Phone ----------------- This permit is issued f or: / , J i/ A � �l�.r i e.�I�.. J'./ . � .I .� /:�Y/.! L iw...•/r.�.� .J�i�—�p� .."����.���.�'���_'��'."�'�'.�������.���������"��'�.�"�����'��__�'_'���_��__•__'��"��������"��"��_��"�_"'�.'��'����'"�.�������'�"�.�'������"�..'�__'�.""������'�'�"."'���� � 0 � .; . -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- All avork to conform to all applicable building ordinances and aniendments. Please note the following special instructions and requirements. DETACH HERE AND POST THIS SECTION ON JOB INSPECTIOId'— Reinforcing steel must be inspected after placing and before covering. FORMS shall be inspetted and app�oved befo�e pou�ing. All plumbing, wiring and the frame af aIF buildings must be inspected and appraved before covering. Wood preservative to be used on all wood against masonry.Ventilate foundation and attic.Sepa- rate permits requ�iPed foP plumbing, wiring and heating.See City Enginee� before warking on streets o� sidewalks. ---------------------------------------------------------------------------------------------------------------•-----------------------------------------------------------..... -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------=----------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------�---------------------------------------------------------------------------------------------------------------------------------------- •------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- •------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------•------------------------------------------------------ -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------•----------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------=-- ----------------------------------------------------------------------------------------------------•--------------------------------------------------------------------------- -------•-------------------------------------------------------------•------------------------------------------------------------------------•--------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- •------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- � . wners ignature-----------�------------------------------------------------- Y -------------------------------------------------------------•--------------- Hi1 Authorized Agent Building Inspector`--��_:__�,._G�,,.�_�=--------------------------------------------------------- �oF Bv ------��`------------------------------------------------- � �, -----------------------