HomeMy WebLinkAboutBURWELL, N. SIDE- W. OF PACIFIC
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437
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City of Bremerton, Washington
Phone: (206) 478-5281
OWNER'S VALUE
BLDG. DEPT. VALUE
PLAN CHECK FEE
RECEIPT NO.
PERMIT FEE
RECEIPT NO.
DATE
- $
SITE ADDRESS I LOCATION Alo . S t;/'.
OWNER'S NAME 06/e Ot.'~r 4Jv
$
-
-
$
'7- ;;/..0-77
ADDRESS
PHONE
CONTRACTOR
ADDRESS
o RESIDENCE
J~ -e-
STATE CONTRACTOR'S L1C. #
USINESS
NEW
o REPAIR
PHONE
o REMODEL
o ADDITION
PLANNING I ZONING
FIRE ZONE
STORIES
OCCUPANCY'
THIS PERMIT ISSUED FOR: ~~ I!l ~ -/I ih~
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 orthe performance of construction.
INSPECTIONS REQUIRED: Foundation Framing ~ Plumbing 0 Electrical Wallboard 0 FINAL
INSPECTION:
FOR INSPECTORS USE ONLY:
REINSPECTION:
NOT
TYPE OF INSPECTION DATE TIME APPROVEd APPROVED
COMMENT
DATE
TIME
APPROVED
FI NAL I NSPECTION APPROVED BY
ISSUANCE OF ocq;
OWNER'S SIGNATURE
Building Inspector
AN Y CERTIFICATE REQ}JlRED BEFORE OCCUPYING BUilDING
~{?6 77 BY ~
b-~_
BUILDING DEPT. ~
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