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1719
A
City of Bremerton, Washington
Phone: (206) 478-5281
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OWNER'S VALUE
BLDG. DEPT, VALUE
PLAN CHECK FEE
RECEIPT NO,
PERMIT FEE
RECEIPT NO.
DATE
$ c':6 fa, i I - $ $ Z (J c;
SITE ADDRESS I LOCATION ..500 lS ;(1::~,J./
OWNER'S NAME P&.AI'AlSi.JL 4- (;/()Llrtt;NJ~", .....)
CONTRACTOR #,p OA5 C1 /LI STATE CONTRACTOR'S L1C,'
-ADDRESS~;2 l'5 () IS ~ 1> R 8 R F ~ F-.,e 70 "J
D RESIDENCE CA...BUSINESS D NEW D REPAIR
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PHONE
PHONE
D REMODEL
D ADDITION
PLANNING I ZONING
FIRE ZONE
STORIES
OCCUPANCY
THIS PERMIT ISSUED FOR: C OA/ S .0P (J cT. ~;7 ~ 4U
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F,7
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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 D
INSPECTION:
Framing D
Plumbing D
Electrical D
Wallboard D
FINA~
FOR INSPECTORS USE ONLY:
REINSPECTION:
TYPE OF INSPECTION
DATE
TIME
PPROVEd AP~R~VED
COMMENT
. DATE
TIME
APPROVED
FINAL INSPECTION APPROVED BY
OWNER'S SIGNATURE
Building Inspector
CERTIFICATE REQUIRED BEFORE OCCUPYING BUILDING
BY
~edAgent
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