Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
BEACH DR., 5219
l, i' " Ii [ I B.UILDING M I T Application Date .Issue pate Assessor. Acct' Site Location. Owner. ,Last. Name ;Street ...c~ty ./ ". ..' ...";,Phon~ Tep,~...t 'i~Name . '" .v... '.''''p ,,,,:..','. .,..... '.. .................. '. A9tp . . Name . .' . .. iAr{a . .rs,Nam ..../;..".;,..[ J]............ :in ........ '~~~ .... .f?!..f .<<<9 :. .' ':'. j'?"',:",i'J'Xi'cMec~nic ",:"_ '\~~', '. 1 ::' ',:,L: '_','_',J,- ':, _, '::' _.',_ '.':,~ " ,', ;. .::. A1t; ~" rX '<Plumbi n '. ;~Q~,::~)t~ :,; '-;,'_l;-r:~~<:,:':'~if:::;-,':'-;';":~:) ,,-:, ::,:,)<:~_.Ji...,:,<,._\~~': '''. 04/02/1991 04/2911991 ~62401-2-6oA~2001 5219 BEACH DR. HOFF 5;219 BEACH .)3REMERTO ,(206 Application Number 91AP03181 . permi t Number '11823 Project Group First BECKY MI ,. t:: Council District . Construction Type SqJreet 1700 Inspections.. Required [Xl [] [ ) [ 1 [Xl [X] .... ..;.....,..._~~~.=..~.......=.......~..~..~...,.~......''I-[......~~_.~..._,..... '_..'-". .'. _....._.._...'._....._.. ....- _.... .- _...;;._...._.._....;..,....._. ...-.' _. ...._. _..'_-. .-' _.:. _....._:.....~~.~..~.-. _.' '.-. .._.--...~.,.x.-...~...-. ..-., ~/.. "," Received By:' . ..... ..' '. . . Approved By: ' , /_ . . ,', ..... .' ..... ,{ ':i'" '/''''''-1' L . . "/' '. ." . .' . .",., . . ., . .' " . ';' ,,,......<,> ________ _~. _. . .-__._____......----,-----..--, ______- ___t. __._ . _.'-_. ____. -_- ____~.. .'. .-.-- ----------.,..----. ---------_A----.--..,.--.-.-... _J----. v . " , " .-' "", -' -, - -,' -. > " '_ - .. . " ,_' ,~,', . " ""'" ,_._ .: . ;. _' ',_ - ,~ . ,_ - .' "'" ,_:, '._ ,,'_., ',,' '. - ,',,' -. ,'. .' ...'~' _. ",., oJ. '., _, _ ,.' " " Resiq.ence Business Other New Repair Remodel Zordng Type St a t.us Code Foundation Framing Insulation Plurr.};)ing . Mechanical Wallboard [X] (X] [X] [X] [Xl [x] "" , B R.",E M E R T 0 N B U I L D I N G D E P A R T M E N T M E C H A N I C A L P E R M I T ' ' A P P L I C A T I 0 N , . , ',- . =====~============,=======================.======-=====~=====,===~==~===~ Application Number 91AP03181 Work will be completed by owner. 1 I r l I I I ''''~-~':-7' , , ' , ' ';,~,!~j,~,~?Jf~if,\'\!~~,.,?:,i, . ".1;rit\~fj;\r.1i~1~~ij~-"H!~j~, ,', "\B R E M E: R T () N, B U I L D I N G D E. P A R T M ,E N T J~........~.....,...~,:"_~ '''', , " .-', A P Ii U M B I N G P E R M I T A P P L I C T I 0 N , , , =-="=~==~,~~="=~:~==?~~~====.===~~~=====~===~====~==~====~==,====="========== Appl ~cation Number 91AP03181 :4ii'(~"" Woikwi.l1b.e corapleted by owner. f. 2 Toil ets 2 ,Bathtubs , 3 BasiI\~.>J'" 2 sh;~e'rs ~.".., 1 Ki'tc Si'~~4.. 1:,;"b i s.bhetsl' ' ,}.~ L 'h;e; ~~:~~rs 1; ., r Heaters Jfi'n' a',,}'s' ..!. " ";1-/W Dri~king Fount~l,,Hs ,:-j, ", fi-- '/ Dr$:lns ~i"" SYopSinks " , w'ater Piping, ~:hterceptors Nacuum Breaker h:"awn S p r i hkler IFire Sprinkl er 1privatePools %, - ~ . . Seml-Prlvate Pub 1 i. c p~)) 1'J; GkoU:hdwork~f ' Su~ps, ' F' 1i.lterations " idney, Machines yate,ijotTubs , , i-fri va'tc.eJi,ot ,Tubs Pu~~i,ti: He:> t . Tubs 'iF ,.' ;:iotft:e~t o~t'~ '~~:~'" .: " -~",,;,":':,~~~", >P, = '= ,':;:1i=~"= ?-:,'~: 't~'~},1,:tf!N. rrl!~7~7.'j,V~"~p;' " "',;I'!F,:~,(,i:~~:'Y,j,\(!I,~;'\'l\t:!~"fii" I t B R E M E R T 0 N B U I L D I N G D E P A R T M E N T ;:' , ~} C 0 ND I T I 0 N S 0 F P E R M I T , . ==='=;====~=~~-=,:.=~=======-===.==='~\==='==~=~==-===~,==,====~=======~======~~== , ' , ,Application Number 91JiP03181 l?ermi,t Number 11823 I ! , , , ,', .. -~-~--~-~~~---~~~-~~-~-~----~-~------~~-,--.---.--~-----~---------~~--~~- Fi re....~Providell0 v smoke ,detector outside sleeping ar:eas. .. ,'" ' <"-' , " on all" faucets ' plumbing~ il'l;. ~,;shall conform to City }~;l ',' " ,'" , ".F "..., .~tid~.~shingt.()n state c.FO~srCionnection :1' ",.(~~~;J<:r~;i:;-:'f,7? nd7tiafl. IC ~".~--;:-,"H.. ,'.. .......,'~,:',I!_.Ii..!.!!RE~!!L!~1c:M!:rlqN , , PHONE: 478-5281 , " 5"2/9 I!?17~~ lJdFF . r.a(/I.LDfjR~_ o NEW D~ I. ,I SITE ADDRESS '8 r=cit '1 OWNER' / {;J.n)!t I?1eOtf CONTRACTOR G"~19 Rffft.:x.P DR MAI~ADORESS Po B(/l S; ;<5"3 MA!1. ADDRESS / G;;yO' / ~ ;2- (J1(7 0/ -.;2(f1~/ , ASSESSOR'S ACCT, 1/ ' , , f3j>(?rnp;r.ffe7Nf~?,fi"3l?- "377-YS-I/ ' ' ~IP PHONE 7~'3/r~;2. fJrnRlfl ~ IIIJ. () 9'1 I3f PHONE LICENSE NO" lr/rfP7 Oft/It? J-pfl. It/y:J . ; .', :' ,- " o REPAIR ADDITION Cla$$ of work: OM ECHAN leAL , [B'~:>LUMBING COM.MENTS ,No. ", 'tYpe of Equipment ~ STOVESG~s..-.- Oil,...-Wood_ FIREPLACE INSERT FURNACE Gas (Nat.,...- LPG.-> Oil_, Wood ac;id Oil- Qther_ Electric_ erru Type: Up flow,...- ,Down flOW_ Horizontal_ Wall_ c:ONVERSION BURNER: GaL,..... (Nat._ lP -> Under 1QO,OOO_ Over 100,000_ Oil~ UNIT HEA1ER,errU~ Gas_ Elec~ ilOILER Gas............. Oil,...- Electric_ " Other-:"- H.P .......;,- --?' GAS SYSTEM Max. 5 outlet Total!:L EVAPORATIQN COOLERS Roof_ Wall_ errU.......... AC UNIT Electric_ Gas'Elec. Combo,...- 'erru............ 1- HEATP\JMP Single Package V SpliL- ~ Add on- BTU Ton__ MIXING OR REHEAT BOX CFM_ BTU_ A.R,tlA,N,."D" ,LIN, ;G,lNIT CMF, _ BTU,_I"), FANS Exhaus, . , Supply_ Bath~ RAN~J; ItOODRel>idential---:- Comm._ ROOF IJRAINS CLqTHESORYER Res._ Comm._ I,NCINJ;RATOR ALT!:RATION TO DUCT SYSTEM He/,ltingICOQling..,...,..,. ExhausL- TANKS Oil.,...,.,... Gas-.- Propane w/OK froT Fire Dept.--" Gallons REFRIGeRATION UNIT Fee "P.....'"' ,->'-' . , ,...~ PERMIT $ ~ lOTAL FEE $ FINAL APPROVAL No. 'tYpe of Fixture or Item Fee i.;. WATER CLOSET (TOILET) " , 't-I:lATHTUB ~"L~, VAlORY (WASH BASIN) ~HOWER I KITCHEN SINK & DISPOSAL "DISHWASHER LAUNDRY TRAY I -CLOTHES WASHER "WATER HEATER URINAL , DRINKING FOUNTAIN FI,.OOR ~ SINK OR DRAIN , SLOP SINK WATER PIPING & TREATING EQUIP. WASTE INTERCEPTER (Grease) VACUUM aREAKERS & BLACKFlOW DEVICE LAWN SPRINKLER SYSTEM SWIMMING POOL - Private_ Public_ GROUNDWORK SUMP ALTERATION KIQNEY MACHINE PERMIT $ TOTAL $ NOTICE THIS PER.MIT BECOMES NULL AND VOID IF WORK OR CONSTRU,CTION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS. OR IF, CONSTRUCTION' OR WORK IS SU~ PENDED OR ABANDONED FOR A PERIOD OF 1:10 DAY$ AT ANYTIME AFTER WORK IS COMMENCED. . ' I HEREBY CERTIFY THAT I HAVE Rt:AD AND EXAMiNEDT,HIS APPLICATION ANO KNOW THE SAME 10 BE TRU!: AND CORRECT. ALL PROVISioNS OF LAWS ANO ORDINANCES ,GOVERNING THIS TYPE OF WORK WILL BE COMPlED WITH WHETHEfi , SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME 10 GIVE AUTHORITY .10 VIOLATE OR CANCEL THE PAOVISIONS OF ANY OTHE,f STAT!: 0 OCAl LAW RULATING" COJllSTRI.JCTION. QR TH!:,PERFORMANCe Of COfol,S1; ION. ' ' , 't-I (pATe {DATe, RECEIPT NO. (Whi1ti-ORIGINAl.. YeJlow.-INSPECTOR, Plnk-APPUCA~ PERMIT h L; .. ,~ .. '1'".:''' .'J.: PERMIT APPLICATION lI'. "' r BUIL;DING remerton,:,VYas,hingto~; ~~310 i ','Phone: (206)'478-S281 Assessor's Tax Account No.: I 211&1 -, - (fJ(1 - ~ (JJf1PJ, "t" ' , , Site 5S: S~ / 9' Beao~p.f. eR617~t<I((I1V I W~ 'Phone No/377-9S'1 J Owner's Name: B t:c-klf i~c:J FP '" I I Ad~r~ss: ' S>K:Yn1 f7 ' ,; " .. , , [] Architect" i ,', Cont~~cIQr I. ,jl Representative:'1""fi" ey /Jd PP J Pnon.f,;2c?8] 33& '-~>JO o Tenant Applicant: ~ Architect Firm: --1f? F-'y Address: ;Jt.1 /9 W. /J/I PF. Des'! ~N s 51bT17 $I' '5u Iffi 5 , l go I s~ -:;r:. D I) fJ 0 Contractor: fJ meR I CION 13 U j 1-1) If 11 S Address: f.o. f3cPrf.., ~ b'3 U/tYd D/Nvd-L"-;; Contractor's License No.: IJm rf(? J B ~ 0 90/' BJ: U-1a Representative: (1.r:U?1 tZ(,,f/J2..oolbj . Phone: 7 e 8- s9 b-:2- Exp. Date: /-/l3- 92- ,f5(1 Residence o Demolish o Grading (cu. yds ) Nature, of Work proposed:1t:~~\'~~ o Busin!3ss" o DU~le~' .', o Other: o MUlt'i.~am;l~ (No. units o Bldg. Move {JOP,/,11.f:'H; qop 15tJT/J upr;"/JI1?J I..' ' , ' '; ( o New ) , 0, Rep~lir : o Sign J ~' Remodel/Addn o Parking Lot " , CAv)M6--~ ,,~~ G.ti- tvlNm0r~ ~ ;.+1 , J.: 'J; . ,j j" \, ,I I, ';' , \ I' r , ,. ".' I I ~. i, . , " I, ?jl.f/}!f 'SetFt.: ::;;_ g:J Existing Surcharges: Utilities: '~', ~ Water Valuation of Materials/labor: [UBC Sec. 304(b)] # 5""&1 cPO tfJ : o Waste ~ Sewer Plan Review Fee: o Septic 0 New o Storm Permit Fee: $ $ Receipt No.: Date: Receipt No.: Date: State $3.50 0 Energy $101$15 0 Height: No. Stories: 2- Heat Source: Zone Designation: , ",? Setbacks: Front: Occupancy Classification (UBC): Side: Rear: Comments/Conditions of Approval: /1 understand that applications for which no permit is issued within 180 days following date' of application shall expire by limitation, plans and/or other data submitted may be returned to applicant or destroyed by the Building Official. (Sec. 304(d)UBC). I certify that the information .." this ap cation furnished by me is true and correct and that the applicable requirement oD the ci of emerton will be met. Signature ~-<-- Date tj-/- 9/ , '(ellow-fiIe; Pink-Assessor; Goldenrod-Building Stal. Code ,-.-.-- '/ ..:.,. ....-. ~ ~:': \,' '. , : '.!~/~,~.;;, ,'-. INSPECTIONREPORT PERMIT NO.', ',/ / /'?-> I have this day in$pected this strLlcture ~nd these premises and have found the following violations of City, Cou1)tY-iJAdlor State laws governing same: , " e;P'\ 1.- ,,-"" L_'/''t>'',/ /.,' . , ~r~~(- a. C. t:..~S f ~t( ", r-~cl., ~',' ". t~,,/"'''/ ru ~-f ~~-r r- , . <9 ~ ' 'J C\.c... v '2.. Z. \ 1::>- t'-~~ . """, )-,' ,. .' You are hereby notified that no more,workshallbecbv~rt!Clupon tHese violations are corrected. When corrections havebeen'rriade, call for re-ins~ Do Not Rel11,pve,~h'is :-na:g' DATE9~17- 9z. ,,:.,,;,~ . , \,:\-.-:' /' . . ~ ,i . :".;: ~~.". . ~"^' n~D" ,~, .," )'F , 'c' _ "o;;~: "", I , J l I ! " , " INSPECTION RECORD CARD CITY OF BREMERTON BUILDING DEPARTMENT 11823 PERMIT NUMBER /. ADDRESS 5219 BEACH DRIVE OWNER BECKY HOFF CONTRACTOR AMERICAN BUILDERS PHONE PHONE FOUNDA liON r.... 5v k+ii:"" "1' t o(...~ a-i:../ ~ 51IT/fi' 1. PERMIT ON SITE 2. CHECK PlANS TO PERMIT 3. CHECK SETBACKS 4. PROPERTY STAKES 5. FOOTING WIDTH & DEPTH 6. SOIL BEARING O.K. 7. CHECK FOR FILL a. REQUIRED STEEL IN PLACE 9. CHECK FIREPLACE FOOTING 10. ANCOR BOLTS 11. FOUNDATION VENTS 12. CRAWL ACCESS . COMMENTS~ .. ~#, ," " FOUNDATION INSPECT 0 JL J"/~,L ~I W1 ~lbI'l/ APPROVED BY: 76 I{pt 2A FRAMING 20. FIREBLOCKING STAIRS DROP CEILINGS TUBS OR SHOWERS ROOF & CEILING LINES FURRED OUT AREAS FIREPLACE AT CEILINGS HOLES PLUGGED TOP & BOTTOM LID IN VOIDS 21. WINDOWS MEETS ENERGY CODE CLASS SAFETY GLAZING REQUIRED ARE EXITS WINDOW SILL HEIGHT 22. CEILING HEIGHTS 23. SWAY BRACING 24. TRUSSES PROPEALYINSTALLED STAMPED PROPERLY BRACED 25. A TIIC ACCESS 26. RAFTER & JOIST SPAN 27. ROOFING, FLASHING, SHEATHING 2a. SIDING f '\ \ 1.WIRING AP.PROVED 2.F'OUNDATION VENTS 3. SHIELD UNDER POSTS 4. POSITNE CONNECTIONS 5. SOIL TO WOOD CLEARANCE 6. BEAM SUPPORT 7. TR. MAT. NEXT TO CONC. a. WASHERS ON ANCHOR BOLTS 9. BEAMS PROPER SIZE 10. FLOOR JOIST SPAN 11. NOTCHING & DRILLING 12. STAIRS WIDTH RISE & RUN WINDERS LANDINGS HEADROOM 13. ATTIC VENTILATION (upper & lower) 14. CHIMNEY, STRAPS SECURED 15. FIREPLACE COMBUSTION AIR 16. FANS VENTED TO OUTSIDE 17. WATER CLOSET CLEARANCE 1a. SMOKE DETECTOR 19. SHEETROCK BACKING UNDER STAIRS ABOVE GARAGE DOOR ~RS Z; ~.4'" ~ ~, FRAMING INSPECTION ' wi ~ ~s, ~ APPROVED BY: 1'" y....~ COMMENTS: 23 INSULA liON COMMENTS: tM1~~/9E . - - -4- - '} /'f I 1. PROPER R-VALUE 2. VAPOR BARRIER 3. PROPER FASTENING INSULATION INSPECTIOt~, APPROVED BY: ~ ; 7 ,11 ~ . ~p ~ . -"', 1 MECHANICAL 1. PERMIT ISSUED 2. FURNACE LOCATION 3. FURNACE CLEARANCE 4. DBD VENT SIZING 5. '8' VENT CLEARANCE 6. DB' VENT SUPPORT 7. COMBUSTION AIR 8. DUCT SIZING 9. DUCT SUPPORT &. JOINTS 10.GAS PIPING TEST 11. GAS PIPE SIZING 12. GAS PIPE SUPPORT COMMENTS: . M - PLUMBING 1. PERMIT ISSUED 2. UNDER TEST 3. WATER PIPE SIZING 4. OWV SIZING 5. PROPER SUPPORT COMMENTS: -) .I, UNDERGROUND APPROVED BY: ... ~~ WALLBOARD 1. LID OVER SIDES 2. NAILING 3. W/R AT TUB OR SHOWER 4.518 UNDER STAIRS 5. FURNACE ENCLOSURE COMMENTS: WALLBOARD APPROVED BY: - 4 \ , \ HVAC APPROVED BY: ~ ?/~ GAS PIPING APPROVED BY: o-/</{ (-/?-'1( WDST 1. WOOD STOVE CLEARANCE 2. CHIMNEY CLEARANCE 3. HEARTH EXTENSION 4. CHIMNEY HEIGHT WDST APPROVED BY: 6. PROPER FITTINGS 7. REQUIRED CLEANOUTS B. PROPER GRADE 9. HWT PRES. RELIEF VALVE & LINE 10. SEISMIC STRAP t S fVV-~ ~ f>,~.A. ~ ~wJ=-. -& ~> U~~, ~\L.~ 1 ~~:UGH-IN APPROVED ~1~1;j~/1/q1 ... 6. FIRE SEPARATION IN GARAGE 7. ATTIC ACCESS 8. DRAFT STOP IN AITle 9. PROPER CONST. OF FIRE WALLS 10. DROP CEILING &. LIGHTING '~ ~~ 7--/f-'7/ FINAL 1. HANDRAILS 2. GUARDRAILS HEIGHT INTERMEDIATE 3. EXHAUST FANS 4. WATERPROOFING IN SHOWERS 5. DISHWASHER AIRGAP 6. FIRE DOORS LABLED AS REQUIRED SELF CLOSING 7. RRE DAMPERS INSTALLED 8. PENETRATIONS IN FIRE WALLS 9. HOT WATER TANK PRL , 10. OUTSIDE GRADE 11. SOIL TO SIDING CLEARANCE 12. SMOKE DETECTORS 13. FIREPLACE HEARTH 14. SAFETY GLAZING 15. INSULATION WINDOWS MEET ENERGY CODE UNDERFLOOR & ATTICE INSUL. WATER PIPE &. HEAT DUCTS 16. WOODSTOVE APPROVED 17. WINDOWS & DOORS CAULKED FINAL PLMB. APPR. (comm.) COMMENTS: FINAL MECH. APPA. (comm.) ~ ' FINAL BUilDING APPR. ~ 7(/1(f /..; ~'-F ........."" b . .'-~ ) N~ 39025 I o~ C ~/ 13/02..- Fee $____L_m.___..............--------....-....----m..m...---m... Receipt No. ..m..m.._______:__m...m____...______.m_______.. F. E. IRISH, Bui/ding Inspector . ESsex 3.1411, Ext. 36 B U.oltD I NG PERMIT CITY OF BREMERTON BUILDING DEPARTMENT Owner's Value Bldg. Dept. Value DESCRIPTION: $ ?-.(' Lot Block Additions /).:::; / A.1 ./ , <..f..' {'/ _c/'" Address on JobS~./L-.-,~':::e.~:-.:.:":':':~.1'.~u:~...n..'....u...------------..-..,-,'-'---' Date ___.._:.:J!...._.---.. ,---.196;:[. Building __,--00-----.-'. x _____.____..____ and "'_00,00------- ,stories ___.n___________.____u basement. Lot ..- _00___"-'. Front Yard ..__n..n__.nn_m.n Rear Yard __n'---.--nn'.n----- Side Y ard..,n..m-.....---__n- Garage _m._____.'--n...----m-----. OCCUpa,sCYnp-.-r:.:i.,"::'l' .__--00--00-,-,11---,'- __,.._00.._._.____00_.... ___ _, u _~"" "'00, ..,., _, _____..---,..--.-00-..--00 Zone ___._..__.________..,00_,.00.--- 00.00_______ II C ':/( f. ~:~~.- __.~~~-_~:~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1~,~:::: ~,~~ ~~~~~~~~~~~~~~~~~~~~~~~~ ~,~~~~~~~~~~~~~~~~~ ~~~::~~~~~~,~,~,~~~~~~~~ This permit is issued for; ';8:', C,' -, :..-- "...... ---..-'-, ----..-..-..-----tU-, -~ Q---------, u__,.,-.n.n.".un__-----.-...-n-n----n---.-n-----.---n---n.n--__'00'___,-00-','00--, '00, ___n'---.-u-u--------. \ -< ~iA) ;,;.'/ . ._ _ __l..:;..... , ._ _ '00 00_ ___. ~ _'::!V- _. _. u __ __... '_'," ___.00 00 ___.. _ _._ _. ___ 00 _.' _ 00 _ _ _. _' _ _ _._ _ - .,--. _' _"'00'" 00 __ - 00" - --"-. ,-00 00 u.. - -'. 00 -- --- -. 00__ -. - -.-" --- --. \ " " , .._ _.. - .'_.. _," ...._'..-.. .. _....'_.... .._'_,--...-........... __.., . ~ __ _....._ _....._ ._'___ .,........ __. _.... - .,.__ _...._... _. _0. _ _. _... _.. ....... _. __. _.._...... __. -........-.. -.. .--.. -...-- -.... -.. --....- --.... -................... -....... ..........- -..' 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 after placing and before covering. FORMS shall be inspected and approved beforepouri>ng. AU plumbing, wiring and the frame of all buildings mu'st be inspected and approved beforel'oVedng. Wood preservative to be' used on all wood against masonry. Ventilate foundation and attic. Sepa- ratepern'llts required for plumbing, wiring and heating. See City Engineer befo,re working on streets o,r sidewalks. _'w'. __ "'_;" -"',.., .,"'-.. _. ":". _.... __. _. .......'_.... ,.__-~....-;......'~,... ..,'.,;. .'_" ~......... .'''-,.''- --.....- _..'';'' -,-""o!",~ ,.~... oil!......,-.. .,.'.."... -..... --.. .'-'..... -.. -,. -.......... ..'. .,..,.-.... WOo. --~...... -,",- ...- ..------.............-..-------------..----- .... _'__,_ .!\"-..'.. __.. - ~ ~~""_ .,-". ,,:,,_,~. __..,w'.,"_ .''':'''''' ..'~-.. ..,..- .,."-.. .',..-'.., ----........ --",-- --,... ......,.. -,." - ..;.;~:'" !!,,'''''.'..:~'..,-.......-,..-. -. "-," -.-. -. .,--,. -'.,,-'.... .'-. -. -,..,. ",.'-.". - .,..'.... -... -...... ..-- -....... ....,.. --... --..-. -.-...- -..-.........-.. ._. ~.. ..'. _.. _,. .,.... _. _;.. _',...... "'_ .'_.. ,.';.'''~ ,,_,'" _," ...,. .'. .....,...,.,..'..'- ..'..;..'__""..,..1........ ..'............. "._._ _,_.... .,_ ....,....'..'..';;;.'..,._.....,.,._:.,_ .'. _... ..,~.... _,..'_'... .-..'~,..._ ..,..,. ",.-,_..._. - ..'- -,-,... -...- -..-.... -- -.. --........... 00_. -... --- -. -... .--... .--... ........ ""_,, ............:1" _'. _....... _'...... _... _..... ..,..;_ _~.. _'",.'.,.''' ,,\"',';""A. ..,...,........... ..)~. _...... """,a'-,.'''- -","1'''.. .....-.,_;o._,..~.''''...''''i..~....-".t..,... .-"..,.., ..'.. ...",":"'~_ - ..'...... ..,....:..',..,..'.. ...-,"'" ....,...- -,_.............,. _.0.,;",",.,.'_. --.... -.. -..--.. -..- -........ -..- --.. --.. - .--... ...-.... _... ":,_. _ ,......... .'''-;';';'.,_;;' .,- _ "'" .,_ ... ......,..:.'.-..".,..... ..:_ ....,......__,-'..,....,_. ....___,."...'., _,'O:'..''l"...-.......... _,.'_. .:_ _ __'_..'"," ..,..,..,..;..:_:;,.... _,_".,,,"'.,. _,," _...... "'." - ....,..'.'",:.,"'_0. - ..,.. ..,.:......-..... - .'- .," -,. -'.... -,-........ -.. - ..-- -- --.... - -. -... --. -,-. ~-. -..-- -- ........... . _ ..: .. _ .. .,_ . _,_ ,..:",":; .__. __. _ _ _' _ .. _ _ ~'..,.,;..-..,.., ..,~ '..._,,,,'" _ .... ~'... ~'~.. . ...~:o;; ':' '" ""w'.;,:'''''',_:'',",,'':' ':' ,,;; .., _ _'... . _..... _ .., _ "'_",,'... ,.,;."...'''' "'_,;.' "'-'"~",,,,,,,"~'" -,-'..'.... - .. .. ,""'-,. -'. .,.~_'.,.'';;;'.o:'.:",,'" ...'..... ,. '" .,- ... .,.'''-'-". - -,-" ., -,-,- - - - - . -.. - -," - . ... -... - - - - - - - . - . -... - - -.. . - . - - -- - - - .. - - -.-- _'_ _," . .., _ .' _,_'. ..,___ _ . .. _ .'_ . ':' _ _ . ",;;,. ..'......._ _ ,,"'':',," _'..._'_ ,,,,"""'.;" .;.'_'" . .. ~.. .. _,~....,. ,.'....... ",_,_ ":",-:,. "",,,,,,,,_~,,,.,,_'";'';_',''''''''''' "",.. "i',,,',"',~~ ',_ _ ",,:"'.';' _''',''',,, ",. "'.""".,,.:.,..,. -....... .. -.... ., ..",-,.. . - .' - .. - - .. - - - -:. ... .., - -,"" -- - - . -'. - - .. . . - - .. . - "i' - - - - -.. '. - - ... - - - . . - - . - . . _ ,;; ..., _ ~.., .;,:_.'..,.. _ _, _'_ _ . ... _ _ .. ...... "". .~_ .. .....,"' ..' '" .......:..,.. _~ ...... "'_,;" .'. . ,_,. .. ..:._..'!!' .. .. . . ..,.... _ "'... ........... .,..'!!,'":_:.:''_'_''' ,_""'-..,,.. - ..,"",..'__:_' _,w _ "''',_'.'.., .,.'_ .., ..,......,.._,.,_ ... '"',_ _ _ _:... _ . _ . ,'" . _ _ _ .,. _ .. .,- .. - - . - - - . . -,- - . .. - - - - - . .. . -'. -.. - . ... - . - . . .'- . -- - .. -.. - -- . -.. ..,......,,;;...,.. -. -,. --'" -.. _ _ .."'..'.......,-:....-.;.,.'..,;.-....,;.-,..,... ,..;..;;....'..:.. .,""'''' _ ....-,-:...-. -.. -'- ..,.;.,-<,;:.;.......; ..........;..,. ..,-:-- .,.,.....'----...... _ ".,.;. _ _ -':" --,..,-.,..,...,:-..;.,.-....,;..,---:;. ..,.... -."".- -. --. - ..-,....-. - - --- --- -,..,.-.- --. - ..'- -'",..... --................. -. -...- --.. -.... _ _ _ _ _ a ,- _ _ _ _.. _ _ .,,-.. _. .'... _'. ,._".._'. _,__,...._,..:- _. "''',-....._'' ,;;,_ .'..'. --:. ':' .'" - -.,.-. -.. -,-,.-';, ",'.'.0;- .," ,;;,,,,::',"" ......~..,..,"''''.'''--- .,.'- - - - -'-., ....,.,-'''''- .,;,'._- - .'- - "'-. - -.- '" -.. - -.. - -. -. - -. - -. --.. - - - - _..' -. -- - -... -- -..- - -- - ---..- .------..... ',- ,,"'- - - - "";--,"".". - -',-- -. - .'- .,.-..,. --.,..... ...:. '" ",-",..,-" -.,. ~'-"'.. - - -. -- - -.. -.. -- - ",. -............ "',-'-'" - ...... -..,..... ... - -'-,. ..,.'., .,.'--'-. .,.,.,.,,-'- -'" -. - - -'..-. - .._- -'.. --. -. -.. - - - - -.. - - --.,. -... -..... - - - - -'. --- - -... - -.-;.-...-. ......-- . _ _,_:;' _ '" .'... _..... _,_. _ .,_. _'_ .,. ....:.,__:. .,.i..._. ...... -. -. -'-..... -. -'- .,- --'...."" - - .,. - -".,.. ,,;;-... .--. -.... ..,..,;-...- '" """ -. --'.,~ ,..-'.. ':' - - -,..... -'" -.. .......... -''''"-.,,.-. -. --- --. -.... ..--... -. -.- .'.,-.-" -.. - --. - ..-.. -. ..'''. -..- -- ....-'.-.... - ...-. ---...... ~ -,'" - - .,.'- -.. -......-.... - -,"'.,-.;-'-'.... -;,,;... -.-,.,...-,,..,..-,,,,-,...-'-".;.'.,- .,,",,-;;'.. ,.-.. "," ..'.,,-.. .,- ,..,-... - ,,"'."'." '- -..'.'. .'....'....-.. .'.. _...'" - -. ~ --. ..---. .,...... -. - -..... -. -,_......... -'.. -. ..-..... - -. -. -... - .----- - --- -.. --. -. -- ---- --....-.. ....- --- -- ---.... .. _ w__... _..._. _',", _... "':~'.;.,_;.,.. ...'..... ...,.,......, ~." "','" _t"-''',_ .,."'., 'e'..... ~.. _. _..... .'....... .,i......_. _._;.. .,,,,,,,. _'.,. _ .,';..". ...,.." -...- .,. ..,-'- - --. -,. ".-,. -,. -'....-. -'e'o, ._,,,..... --..... -'.. --.. - -.. --. - .-- -.. .-- -- -.; ---. -'...... --- ---.... -.....- _ _.... _.. w., .'''' .'_. _'.';;;'_,_'. "".. ..--..._...., _:.. _ ..'.... .,~ ;;;,..,..,~-'..-p ...,.,... ..,.,......... ...... -.. - -. -,.'-. - ~-....'..,.,-... ..,'......,.:.,""-.. - --.-. -.-,-... - -. - .,- -. ..:.. -'"".-.. .-'.... -.. - -..-- ..'-,.... ",-_. -.. -,. --.. -. -- -...-...... --..... -...-..-. ....- --...- .....- --- -'-.......... -.. .'.. - -. _.;.. -.. -.. ;..,"" .....,.. .'. ---... ~.-'.. ..:... ....;...,- .,-'. -....-..- .:..'-' ..'. -.. -.. -. --.... - .,.,. -~ -..-.. .'.,.- - ..-...,.... --....,...... ,. -... -,'-.. - .'_.- - -.... -,. -.. .,-- - -.-..... ...,-...,-. - "'" - - -... -.. - --...... --..... -. -- -. ..--....... - .'- .'-,....... ---... . - - .._. - - _.. ..'.. "'.. ..;.';.... ..'_,_ .';;'.. - "". _'......-........'.....-'. ..,.:,'.... ._,..,..~............ __,_.. ""_. _',"_ .'..... ':' ,_. __. .,. _,"., __.... - .,..'..... . _. .'_. _. - - .:..'.. - __. .,.,_,,. _.,.... .,.-..... _. .,.,_,... _.. _.... _.. _'. _.... __. -.-....._.... .'..J'" .,........ --.....,.-.... . _........._ ":..... _'_ _......,.-. _.. - _. __'......_ ..,'" ".,_. ";,","',- """,,0 ..""''';... - .,...... - .'. -..... .:",.'-;,. - -,*' -. .,":-. -... -- -.- -.. --...-. -.......-.- - -... ....--.......'----...- ..-..-....... -. -.. - -..,.. -.... -,--.. .-- ..-:-..,... --. --. ....-. ..,....,..-...-. -...- --.. _ '" _ _..... __. _,.'. .._........._............ _.. .,........... ":_,_,...," _..... .'.._ .'_ __. _ ..... _... _...._...... _,. _.... .:,,'_,. ",,_ .,_..... ....._......,; ............_._ __.... _. _ ",'___ _.._. _.... _. _,'" _ _.. _... _ _ w _. _..__.,. __. _.. _ _ _._ _ _ .,.,_,.'.._...__......_,....'_,___ - --. --- .,." -. -.. -.... - .'. - ......- ':' - .,.'-... .....'-," -,-,.. -..... -.....,..-. -'.- .'. -.. - _. -'..... -... -. -. -.. .,- -......... ..,..,,.... - - .-,.....-................... ...". -'... ..,..... .'''. .'-.. -. -.. ""-.-,-" -. - -..... --... - - -.,.,..- -,. --...-. -.-.-...-.. .,-" ..... -. -'- ........ " 'In i:l I. a ,,/ Owner's Signawre ~,::;~.:un....,. _{;.:".,._ Jd ".._...:'J~~..__':?:1/._ By __ _._"____ _'_'__' ----. .------- .__"--..-"-..-.-----,-.--.-.,-.---...u--n-.. U .'. ,', , , His AU1horized Agent Burldmg Inspector--nA.-.- ____ ___.__.._"_ __._..___..__.____..,.._._ _n_..___n______.___._. -'. ---...--.-- ,:'.,. ~ By...." ' ,., __~______u..______..__.__..--.-.----.---.u.-.--...n-n.,.-......-.-". -.. --- -.. ~OF ,':"'""\." ,~" : "--' ",j" ",,,':';~..:'{, ' ',...,: .,;.,y,....., .:',L., ~, ',. ' ,,'1;. I ,_ ~'; ^', , ." ,,,,,.'; , ",,;,;..;,,-f;' c', , " ~ " ,;; - '/, "./ ~". '