HomeMy WebLinkAboutWASH. AVE. W. - S. OF BURWELL
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436
A
3U_JNG ~=~V1~
City of Bremerton, Washington
Phone: (206) 478-5281
$
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OWNER'S VALUE
BLDG. DEPT. VALUE
PLAN CHECK FEE
RECEIPT NO.
RECEIPT NO.
DATE
OWNER'S NAME
CONTRACTOR
ADDRESS
D RESIDENCE
~,I/ M E::
STATE CONTRACTOR'S L1C. #
SINESS
W
D REPAIR
PHONE
D REMODEL
D ADDITION
PLANNING I ZONING
FIRE ZONE
STORIES
OCCUPANCY
THIS PERMIT ISSUED FOR:
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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 fiI-- Framing Plumbing D Electrical)il- Wallboard D FINAL
INSPECTION:
FOR INSPECTORS USE ONLY:
REINSPECTION:
4 NOT
TYPE OF INSPECTION DATE TIME PPROVEO APPROVED
COMMENT
DATE
TIME
APPROVED
FINAL INSPECTION APPROVED BY
ISSUANCE OF 0
Building Inspector
OWNER'S SIGNATUR
NCY CERTIFICATE~REQUIRED BEFORE OCCUPYING BUILDING
, "1 \('""21) \'1 "1 BY
BUILDING DEPT.