HomeMy WebLinkAbout5352A (2)
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BUILDING ~ERMIT
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5352
AI
City of Bremerton, Washington
Phone: (206) 478-5281
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OWNER'S VALUE
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$50~o
BLDG. DEPT. VALUE
PLAN CHECK FEE
RECEIPT NO.
PERMIT FEE
RECEIPT NO.
DATE
$
SITE ADDRESS I LOCATION :2" '6 I
OWNER'S NAME It. 1(, kL/J-P'1
CONTRACTOR Xb I C2Jr~r
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ADDRESS f'",() t3-r~ 6'S~'{J
o RESIDENCE a BUSINESS
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ADDRESS
$ 5o;!J-O
1- .j-:-R
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PHONE
STATE CONTRACTOR'S L1C. # 5'r '-6 T - c:. ~ 'If / 9 :? C' .:5
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o OTHER 0 NEW
PHONE
o REPAIR
O<REMODEL
o ADDITION 0 DEMOLISH
o SIGNS
OCCUPANCY
PLANNING / ZONING
STORIES
THIS PERMIT ISSUED FOR: ~-,","'6~ (' q^'~ ~/..A.-f!..Jl_y C!L...r {U-'-.-
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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 0 Framing A Plumbing 0 Electrical 0 Wallboard~
SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL
FINA~
FOR INSPECTORS USE ONLY:
REINSPECTION:
NOT
TYPE OF INSPECTION DATE TIME APPROVED APPROVED
COMMENT
DATE
TIME
APPROVED
FINAL INSPECTION APPROVED BY
Building Inspector
ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYING BUILDING
OWNER'S SIGNATURE
BY
BUILDING DEPT.
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Authorized Agent
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