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Fee $__~__r..____~____ _________._..______________________._____. Receipt No. _____t2.___...._~:.____f..__________________._______.
BUILDING PERMIT
CITY OF BREMERTO'N BUILDn.-G DEPARTMENT
F. E. IRISH, Building Inspector . ESsex 3-1411, Ext.36
Owner's Value Bldg. Dept. Value DESCRIPTION:
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$ t7 r Lot Block ,\dditions
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Address on Job _mm~_.'!l_2:u~__.____mm~ZX!mm~_[Y...~:_>t:..~T:u.__ummmm_____ Da __ _m._:.n~f.m..::_.m_196m_
Building ___m__n.Un_ x nmnmm_.. and _m_unnn___ stories _.m_____.mm___._n basement. Lot mm_m._m_ x n_mm__..___
Front Yard ____m__.m__m_mn Rear Yard u________m__...__.___ Side Yard __mmm._m._____.. Garage __u___mm.m________.mm
Occupancy _ __ _ _ __ ___ ____ __ __ ____. u_. ____ ________ ___ ..___ ___ __ ________ ___ ___.. __ ..--00--- __ -___ -__ -____ ___ -- --- ----_ _ Zone -.- --- -:5>€?-- ir=7l:r-l'<!d,--. --- --------
Owner Ilo.lf..tf'-,_'^-1tf!::?_1:t.kC./~.Cj_l]_:II_.lf..-e..'X.J;:-.Jf2t1_.r2: Address 2_::'l_:::.i!~::.":r...r)H~_!~S!__S_[;_ Phon~4Z-,-:':t--~.? (:)? 1')
Contractor 00 u_ __ _'_ _00_ .__._ _.__ u. u_ __ _u______._n_ __ u__ n.__. __ _ __ ___ __ _ Address .. _ ___ __._ ___ __ n_ ___ __ __ __ ___ ____ ____ __ __ u Phone_._ __ u - -- -- - ---
This 'p~rmit is is!..ued for:,L_, .......... ----=-_j . _ ~
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All work to conform to all' applicabl~ building ordinances and amendments. Please note the following
special instructions and requirements.
DETACH HERE AND POST THIS SECTION ON JOB
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INSPECTION - Reinforcing steel must be inspected after placing and before covering. FORMS shall be inspected
a,nd approved before pouring. All plumbing, wiring and the frame o,f all buildings must be inspected and appro'ved
before covering. Wood preservative to be used on all wood against masonry. Ventilate fo,undation and attic. Sepa-
rate permits required for plumbing, wiring and heating. See City Engineer before working on sheets or sidewalks.
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Owner's Signature u_____.r;;t_:n___. -i-uun~---n u. .nnnu__n_n____ By ________u__.______u._n___.n_n_________u__________________.________.___
II ". . . . . __ . . His Aut~orized Ag:~t_ '1
l Bmldmg Inspector .____.____Bt.L!__!?.(_____:f__E~c;":'..~Y.J_______F-Lc:-::---.
~ OF _ By ..n___m____n_nm._____/'3{j:-/!i3.._n__n_______________mm____
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