HomeMy WebLinkAbout2003-04-07 1231 CAMPBELL WAY - Permits
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lee ~t:li St.'C<'iN!li. Br~Jitan. 6llM 9833'1
P.&a.!'Ul>! (.];6(}) 4711..527;) l'14X: (SoD} 47ll'--5278
WIL.'01.l5;C. 1'1i!.Y.il':U:l'
A~~i~cant: Jt~SEN M~Tt 36U-710-3390
li2Jl c.~mELI, W:~YBW1FH:A'mj wA 9$310
Parmit No: 03-0172
zta tUG: IS':;UEO
A~~li$d: 04/07/2003
lssuwd: 04/07/2Q03
Exl,il;;;!!l; W/1)4/i~OQ3
:'?I~ Jr.&ou;: 1231 CANl?BELi. WAY
L"C~l t i<J,,:
ParcGl l~o: 39;6021:1-001-00')4
O~m!l\li:': 3E1iSE;i1f t'JA,:!'f 360..nO-3390
12::1 ~P..M~EU. Wll.'f:d\;~EMf:RTON WA 91.:.310
Contt actor: sm.Jt
Lie fi: SEI..F Exp'
Subconh "
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Valll:l. ti(,)t\ 1'" :'IJilrmi. t rf'",la!S : 111.% l"otn.l Caleulatsd. f(~",,: 11e. O~
Z., 50fJ .1J0 '" Po letn Chaclt: ~'ees ~ ,00 Addi dona 1 lJ"s3z; .1)0
" Oth€'r. F...",!>: 4.5D 'f()tol ?erlllit F<i'e: 116.05
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~~C~AN.CAL/P~V~6!NG FIX!U~ES--
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Y~CH-Oas P1pin1 {outl~t$I,...: 1
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!'his :"li'f'mit iihtd!. b~<:"om... null ar:d void if thlll building or. work uutf:or:izoo J:I';/' thili'. '&"'?I'$it is not (}{)mlltTnced within
180 ;l.ays from the .dat.Q of' !f.u'c:h l'~:rrt~tt, m' if this bui.l.din~ orwer!!. a.uth~~rized by 5l\t'Jh r<aI"mit is sl.lspend~ or
abandon~d ~t any t1IDe af~~! the ~ork is co~n~:lc~ for a ~a.ioJ of l~O dat~.
f'1(,'t'lc:E - It :u;; th,., r~sJ?cnlii:ibi Ii t:r o.f the permi t holder, not thl? Cit r of Elf. 'ilmer~on er .~u.il.;'!i:(jg Offici",l to sse
to it tEll} t f<ll'i'Jia'd inliIi,.,etioYls an,. t:Mll~k', 'fh.. p{>r.r~ t holder mU$t nm:i'J:r tl:l1! Buil{!ing Officia.l when r...",dy tor
i;.r,s!"a.~:r,ions. 1failm'<!! c,f \:100 p\Ilrm:l,t holda'l to not:if;r th$ 8v.i:t.di1"l9 Oftl-ci:al c1: req;t;:;'.red irllil:l',ectiom; l'ilal' l:a.sult
in thee stoppa'M~ .;;f the I~ot:h until such t.1.111<l!< that the PEi'ud.t h.Jlder cf.unsubs't<.\:o.tiat... tel tnlil huildil)9 officilll
tnfJt th1t. 1~'.)y'\(,1i.!:a1l;,d tJ:trk r,,$,~i:s or (;>1<Cl~-eds coda [(!.qUir.!:llll:$l't'tIL Any dli}llloliti,<.m, tssting, ot' finer,f,:iel bl.wiel1 llr!fl.ll
f.l',: 1::,,:-:nlt< d.i.t'E'ctl.l by the f'(,'rllilt nol{\,l:'-. ~',d hl.1:e T0 !!HJ:b!ltln1tiat..~ code l'&'ifUiz ements \Jill ::.ndelllnif1 th", City,
a<;laJ.nr.:t (,lUX :m,\ aU !:'l9ll!>omdI'Jihtll' or. lilll.bi,l.:i.ty (:crm$!cted with the- c(jnt;trll~ti.on.
J h'et",l:;y c~.rt:\f'1 t!';,,,,t 1 hav", IGad ::md exalll'Sl..'i\l.'t thili p~rmit lln~t lmoq 'th$ SSlClil to j:,e tnw <1.no, conGet. All
t;l'(:wi",1'Jw. (It tar..!s a.nd r.,~dinenCl",s ';l'I'l\?l:nil1-;i this tn'e- ,,;;x liwuk Hill hi) compl.ied \lith .1hcther llJ;'$cifi'$ld heHJ::l.li
in" not, '!'h~, g:ro.':l'tirl',J or a ::?!IfE:iit -c:<:rea l10t ~r",:sum€' to give :!"lthu.dtl' to 'il'ioll1t.. t'~ '~linc'<ll th<l', J;\t'cvinonfl ,ri
am otnoJr :otute lor loce.l .i.;.'l~ t'~gul",t:h)g r.:.ot\$tx;cti:::m or. thti ~'(,lt'fQri1W,11G(j! 01: constr.uctiO~:.
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BI1EMImTOW PEW-lIT C~'!J::a
E'E:Jii.MIT co:NDI1'l.OMS
,!:'..r:l'.::t No; 03-0172
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Job Ad,il,rus: L?3l ~Jd.PBEi.:t IMY
Aa$r. +\.C'1:'\: ~'J: 3t; 7~.~2!Hj(1l-0004:
;.,o,;alJem:
}I,Pi' Had: C4/ O'li 2003
Approved: O~/O:12003
Issued; 04/01/2003
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l'lppi;j,cent: ..n:::~3E:\'1 MNl"r
Ovnl?t: Jl::l>rSE1'O i'lAT'J.'
Ccnt.rcc\;o~: SE1.F'
D..sc.ti..ti.on:
12:3 GAr. ~'aOP1UfI:~ 'J:'il\1'lK, l\l'l:~ PRC>P.llJif: t',m:A1'i!:a,
IN~1!Jl.AT rO'!l'. II':lOP.S 6, lj;l'USDOOS 'Z'Q }O;XIS'l'1NG Gll..PJliGE
Co-nd.:i t i :D~)tt ~
1. ,,:.?;.O~ '!'{) P.;>:'\".(;;'OR~r:MG .rou nENO\lA'I'l.~)t,! i)l' j)f:MOLI'i'ICYtl WORt(.
PUG;!'!, SOlJ~u <:i"B:-m AI~ AGENCY (<':::l.&~l\.\! AIR AG€f.1C1f) N-m
w,~~\HINOTO:"\f 0EPP.F;';\,?;'L";J;1'I:' OF r....l!.l:'lOl:1 ru:lU lND'JS'fRU::S (L&X l
~Gl!t.,AT:iONS RifXJU!R€ A/:;j MBE.S'l'OS SURVEY iSE l?li:m'C1Rl'!E'D TO
1.~l!:Tl!Ri11N'E \>lHE'!'Hl.!:R 'THeRE UE ASBf:SroS.-CClIl'i'AINING I"JI'rtiHALS
Xlii !HS i'}O~.K J!.lREA OR STRTJC'1'l>11'E:, THE MBF-S'fOS SURV:~:i l'liJST BE
<~oml;lJCTEDeY Alii .I:~P.l\. C'D'1'IFIZn {AHF..,I:a.\) Bt\!LDXNO !Ns!>tC't'(lR
\ i::XCl::/?'J: R!::NOVATIO}{ OF OW!"f~H-OCOJl?n~(J SIUC,LE' 1!')l..."lI'J...Y
RJ:Si.D2>lCE'S ; ,
e-Okl. ~onE n"F'ORMA'.l.'I(!~!, E'Lf,ASE COl'f'f':<IC"7 C,LEAN AIR A(I~lfC"{
TPJI,OtlGl1 'I'HEl.ll. !SE8 SH'E W! W.~IL ~'$ell$atlliU,r.. ()t'g OR I:W !?HOOfE AI
GDO"5:-:C-)5e5 ('1~ 20f:-M9"405~. THE Lh! WE.B SnE (,;C.N 311:
!"OUllilJ J.\"{ ~1WW ,lni, wa, <;iov,lwilllv:l/t1'-ts/a.sbeat'C$/ashefito$ .htlll,
2. PLl\N' RE\l n:w C.cmH '1'1 ON'S Of' Al?PR~)'JP.J..:
].\) 'riil,S STRt.lC'ftIRE SRlU.I. IWl' 8E USED !."\)R SLEEl'UK';
ROOl"lS1 BEtJROtlNS. NOr. J.u?PPl)\P.:l:. ].i.::; A SLEEPING ,MlliA L'll'DER ]l;1\fY
C!RClJMS1'ANCR~.
e) THE ,),20 G1>.Lf...OM PF'(;~ANE 'U.li'K SJiII.LL 8E :A ,MI1UI.,I11'l OJ:' 10
F!:E'f. FROM N'1Y PI?,CPERTY LIl\fE. APPUCA\IlT MAY CHOOSE 'L'O
r~~W~J.L NM'UF.lU. '3M PIPING mSTfJl.n. '.rEl:~ J.'\PPUtAi\!~Z WIL.t
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t'ba.!':!~l: (JM) ~7S-5:n.5 F.U~ (360) 1:78-5278
:Jo!~ ;..d:jleu ,~Bl c;~I"l!?aELt. WAY
Locotiol"\:
Ar>H Ace1: No' j~nIi>02e..(lul-OQ04
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~!.:.il djl^l'~ l?e.n!l.l t :iI>: 03 - Q 112
Status: IS$Ulill
Issued: 04!07!200~
Expiles; lOlMIZOf.l3
BEQfJ!RED
1 N S ~ eel X 0 N S
tlen.: IJl4.0C MECHi\liU CAI. Dep, . BLDe. !)ivi.s:I.on;
H~Ui: OleoO lNs:m.AT IO~1j Dll'Pt;:. BLOO Division:
: t e1!H 01700 ~R:f...i'H1\K; I.>$!?t: 51.D<j Di'ri!IJ,,1n:
Jt,,;,w: 01900 S!'U:E'1'RC,(':j', l'~).';rL X;NCl n,it;?,t; BLlX) Di\d.to::!.o", :
lt~l1\: 027')0 li' IFUU. - .. 6.)~o.:; D""Pt: 61.00 Div"ig;iQn:
~..~*.R*.~a...........R...*...*...R...RR...R.........W.~.......A....a............
'l'.'ES'l.'m<J~ Milst b$ r(Olc::;l<Jlli.%l:N~ by th~ It..shilwton }\uooiatiOl't of auildirl1.< Officials
$l?ECU:rS19: ~lut:1::be n3gis;t,,,roo with the stat€". of WA
5T OF ;,1.1',: Sl:a.te of !>lA DE'l-'t, 01' J.abor a.nd InUUtltl'198 478-~9a
Hl!:1\.liTH: Bretll.('):rton!KH;,;a,.. Health Diat:ici: q,'ie~~2.,fJ
A1..L Ili!Si?~;C'nmm fi'EF.fORt'lED ew l.HE crn Of aRl'i:ME.ttT~f l.>1US'1' BE SCiiE:OULS1.' THROUGH '1'IiE
PEfu'\1,:I'l' (~t!~~r~{l., (36C) 4:'18-:1275.
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.B!iI&N\i'R'fOM PERIliI'l ~
286 4th strest. /BrfilliJerton. m 98337
PbQ1.lS: (360) 478-5275 FRX: (360) 478-5278
BUILDIlliG 1Prmm:'!'
Job Addr: 1231 CAMPBELL WAY
Location:
Parcel No: 3976028-001-0004
Permit No: 03-0172
Status: ISSUED
Applied: 04/07/2003
Issued: 04/07/2003
Expires: 10/04/2003
Applicant: JENSEN HATT 360-710-3390
1231 CAMBELL WAYBREMERTON WA 98310
OWner: JENSEN MATT 360-710-3390
1231 CAMBELL WAYBREMERTON WA 98310
Contractor: SELF
Lic #: SELF Exp:
Subcontr:
Deec: 120 GAL PROPANE TANK, NEW PROPANE HEATER. INSULATION. DOORS & WINDOWS TO EXISTING GARAGE
**~*****~~~********~*************************************~~****~*********~*********~*********
Valuation
2,500.00
* Permit Fees:
* Plan Check Fees:
* Other Fees:
111.55
.00
4.50
Total Calculated Fee:
Additional Fees:
Total Permit Fee:
116.05
.00
116.05
~********************************************************************************************
MECHANICAL/PLUMBING FIXTURES--
MECH-Unit Heater.............: 1
MECH-Gas Piping (outlets)....: 1
******~**************************************************************************************
This permit shall become null and void if the building or work authorized by this permit is not commenced within
180 days from the date of such permit. or if this building or work authorized by such permit is guspended or
abandoned at any time after the work is commenced for a period of 180 days.
NOTICE - It is the responsibility of the permit holder, not the City of Bremerton or Building Official to see
to it that required inspections are made. The permit holder must notify the Building Official when ready for
inspections. Failure of the permit holder to notify the Building Official of required inspections may result
in the stoppage of the work until such time that the permit holder can substantiate to the buifding official
that the concealed work meets or exceeds code requirements. Any demolition. testing, or financial burden shall
be borne directly by the permit holder. Failure to substantiate code requirements will indemnify the City
against any and all responsibility or liability connected with the construction.
I hereby certify that I have read and examined this permit and know the same to be true and correct. All
provisions of laws and ordinances governing this type of work will be complied with whether specified herein
or not. The gr~ntin9 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.
7
/
Date:
Y/7tJ3
, r .
/.
I certify
Section
requirements of the state contractor's registration law. under
Date:~-
LE/7/ !J 3
1-03
.
Date:
I
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======~:======================~======================================:==BD===
BREMERTON PERMIT CENTER
PERMIT CONDITIONS
Permit No: 03-0112
1
Page:
================:c===============================================:=:==========
Job Address: 1231 CAMPBELL WAY
Aeer Acct No: 3976028-001-0004
Location:
Applied: 04/07/2003
Approved: 04/07/2003
Issued: 04/07/2003
Applicant: JENSEN MATT
Owner: JENSEN MATT
Contractor: SELF
Description:
120 GAL PROPANE TANK, NEW PROPANE HEATER,
INSULATION, DOORS & ~INDOOS TO EXISTING GMAGE
Conditions:
1. PRIOR TO PERFORMING ANY RENOVATION OR DEMOLITION WORK,
PUGET SOUND CLEAN AIR AGENCY (CLEAN AIR AGENCY) rom
.WASHINGTON DEPARTMEliT OF LABOR AND INDUSTRIES (L&I)
REGULATIONS REQUIRE All ASBESTOS SURVEY BE PERFORMED TO
DETERMINE IdHETHER THERE ARE ASBESTOS-COJ.\lTAINING MATERIALS
IN THE WORK AREA OR STRUCTURE. THE ASBESTOS SURVEY MUST BE
CONDUCTEDBY AN EPA CERTIFIED (AHERA) BUILDING INSPECTOR
(EXCEPT RENOVATION OF OWNER-OCCUPIED SINGLE FAMILY
RESIDENCES) .
FOR MORE INFORMATION, PLEASE CONTACT CLEAN AIR AGENCY
THROUGH THEIR WEB SITE AT www.pscleanair.org OR BY PHONE AT
800-552-3565 OR 206-689-4058. THE L&I WEB SITE CAN BE
FOUND AT www.1ni.wa.gov/wisha/p-ts/asbestos/asbestos.htm.
2. PLAN REVIEW CONDITIONS OF APPROVAL:
A) 'l'HIS STRUCTURE SHALL NOT BE USED FOR SLEEPING
ROOMS/BEDROOMS. NOT APPROVED AS A SLEEPING AREA UNDER ANY
CIRCUMSTJ\NCES.
B) THE 120 GALLON PROPANE TANK SHALL BE A MINIMUM OF 10
FEET FROM ANY PROPERTY LINE. APPLICANT MAY CHOOSE TO
INSTALL NATURAL GAS PIPING INSTEAD. THE APPLICANT WILL
IWh
Permit Holdex; ~
Signature / Ai. ~
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J? ()4<1~Date
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286 4~h Street, Brewsrton, m 98337
Phone: (360) 478-5275 Fi4X: l360} 478-5278
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Job Address: 1231 CAMPBELL WAY
Location:
Asar Acct No: 3976028-001-0004
Building Permit No: 03-0172
status: ISSUED
Issued: 04/07/2003
Expires: 10/04/2003
REO U IRE DIN S P E C T ION S
Item: 01400 MECHANI~~L
Item: 01800 INSULATION
Item: 01700 FRAMING
Item: 01900 SHEETROCK NAILING
Item: 02700 FINAL--BLOG
Dept: SLOG
Dept: BLOO
Dept: BLOG
Dept: BLOG
Dept: BLOG
Division:
Division:
Divi.f!~on:
Division:
Division:
*********************************************************************************
TESTING:
SPECINSP:
ST OF WA:
HEALTH:
Must be recognized by the Washington Association of Building Officials
Must be registered with the State of WA
State of WA Dept. of Labor and Industries
Bremerton/Kitsap Health District
478-4921
478-5235
ALL INSPECTIONS PERFORMED BY THE CITY OF BREMERTON MUST BE SCHEDULED THROUGH THE
PERMIT CENTE~. (360) 478-5275.
............)....................................................................
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RECP.:IPT
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'?-f:'alP'I N\m\Z;(~,:,: 0300028:' A1110lJi'It',: He, 05 04/01/03 1.1. :,2
Pe1!ll~~.\t M",,~iH}d: cr.: Notation: .lhAVSEN CK Hut:: VOW
l?S',t!'l;:L'f No: 03-0lJ':? Type: arJX;-E'l BLrlG/Mt;CH/l?LOO-OVieR
l;'($!i;:01 ~~c: 397 f,{)2r.1,.{Hjl-0004
s1. tEal Ad.cl.res:!'l; 12)1 CAJ'il'Sr.:LL \~AY
't
This Pel11lent
ll~ ,O!-
'!:otal f'~eli;:
'fotal ALL Pmt!!):
fia.l.lJ.nc,~'
116.1)5
116. C!5
.00
w*>>~*~~..~~k*rt*~*~UW*.W*.****~~~****~**~*W*.*_****.*#'A**~~'k..~~*
A,:<':Cil):nt. (;t)d",
15-322.1001 12211'
16-322.1005 (2215)
643-237.13 (U236}
n~l,$c.ri!'tion
BUIU:'l!NG FERMl'i' Feli:S
MECW\!,rOJ" PE."ID1!'r t'EE:S
STATE OF NA SURCliAQOE
.l\.n\uu~n
83.2:'
213.30
.1.50
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PERl\1IT CENTER
Department of Community Development ::- 286 4th Street :;- Bremerton ::- WA:' 98337
(360) 478-5275 ::- Fax (360) 478-5278
APPLI CANT:
Building Permit Application
D CONTRACTOR D AUTHORIZED AGENT
Site Address /.2 3 I
~~.
CONTRACTOR: c' '-"'"
Address:
City, State, Zip
Phone #: (
License #
Contact Name:
Contact Phone #:
Tax Account Number: 3C1
Authorized Agent Address:
City, State, Zip
Phone #: ( )
1D1 ~ \Q7 [g n W ~ ~
n1 APR 0'7 2003 ~
Expir. Date:
)
Check the type of application for below:
D NEW SINGLE-FAMILY RESIDENCE D NEW COMMERCIAL
D NEW DUPLEX D COMMERCIAL REMODEL
D NEW MANUFACTURED HOME D COMMERCIAL ADDITION
D RESIDENTIAL REMODEL D COMMERCIAL REPAIR
D RESIDENTIAL ADDITION D NEW MULTI-FAMILY
D RESIDENTIAL REPAIR D TENANT IMPROVEMENT
IS THIS PROPERTY WITHIN 200 FEET OF A SHORELINE?
BREMERTON
O BUllOlNG DEPARTMENT
NEW GARAGE/CAR PORT
D NEW ACCESSORY SLOG
D NEW SIGN
o STRUCTURE DEMOLITION
o GRADING (Cubic yards: _ )
D OTHER
YES ~ NO 0
ex.T '10
Valuation
.y/. )OtJ ~
Plan Review Fee
Permit Fee
5
Total Fees
05
Application for which no permit is issued within 1 SO days following the date of application shall expire by limitation, and
plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the building official.
The building official may extend the time for action by the applicant for a period not exceeding 180 days on request by
the applicant showing the circumstances beyond the control of the applicant have prevented action from being taken. No
applicant shall be extended more than once. In order to renew action on an application after expiration, the applicant
shall resubmit plans and pay a new plan review fee. . L . .
APPLICANT'S SIGNATURE: ~~ 0 . DATE: 'I/7/j]
; . I {
001-
PERMIT CENTER
Department of Community Development ::. 286 4th Street ;:. Bremertoll ::. WA ':. 98337
. (360) 478-5275 ::. Fax (360) 478-5278
I D I MECHANICAL CELl PLUMBING
Type of Fuel: D Electric 0 Gas 0 Oil ~ Propane
Occupancy: D Residential 0 Commercial
Site Address: /23/ Cet-rYlj>be/1 Wc~
CONTRACTOR: l-erye.!1 6~ OWNER: /??~t/ 0~Se~
Address: Address: 1:23/ t::~ 6.ej/
City, State, Zip: City, State, Zip: .?J w ft qP3 J
License # & Exp. Date: 7/0 ~5:5 'ft'J
Contact Phone #:
NO. TYPE OF EQUIPMENT NO. TYPE OF FIXTURE
RANGE WATER CLOSET
WOOD/PELLET STOVE/GAS FIREPLACE BATHTUB
~ GAS FURNAC~ LAVATORY (BATH SINK)
CONVERSION BLJRNER: btu SHOWER {, /'2 r,:;., r;::;;. n ... ~
UNIT HEATER btu KITCHEN SINK IUJ lS l5 U W ~ ,(\\
BOILER btu DISHWASHER Inl APD ^~ ",nn", /Ill
.
GAS PIPING LAUNDRY TRAY IUU ... " V G LUUJ L:/
EVAPORATION COOLERS btu CLOTHES WASHER l:jHtMERTON
~r fIIl"l"I'" "'-.... __...
AC UNIT btu WATER HEATER . -.-........... UCrJ-m, IVltf\J !
HEAT PUMP btu URINAL
REHEAT BOX btu: DRINKING FOUNTAIN
EXHAUST FANS FLOOR SINK OR DRAIN
RANGE HOOD (RESIDENTIAL) ~ WATER PIPING & ALTERATION
RANGE HOOD (COMMERCIAL) GREASE TRAP/INTERCEPTOR
CLOTHES DRYER HOSE BIBBS
INCINERATOR LAWN SPRINKLER SYSTEM
DUCT ALTERATION SWIMMING POOL
..........
/ TANK TYPE: /;<tJ '7~ - f)yO J!)&7'~ BL~. SEWER: (MOBIUMOVED HOME)
REFRIGERATION UNIT JJl red- pe..jtir v-=J R 0, ~:f\DRAINS
OTHER: / ". ~ lJ O~ QEtF : fJy iJ.f) d./J/f e- J-/eJ~ I'>: OdO
I 16 J [JV I
MECHANICAL FEES: 7
PLUMBlr'>JG FEES: I
TOTAL FEES: .4 .~
~#~ ///;---. . - >i/7/tJ g
7Applicant's Signature ./ ~ 7 Dat€
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VICINITY MAP
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Inl APR 0 'I 2003 ~
BREMERTON
BUILDING DEPARTMENT
'ME CITY, Of P/lIOE AND OPPORTUNITY o.
CITY Of .
BREMERTON
PERMIT CENTER
286 Fourth Street
Bremerton, W A 98337
(360) 478-5275
II
INSPECTION REPORT
11
PERMIT#: ()3-.017Z
ADDRESS: 123 r lJAWlI?r3e2(~Wo/
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70 Cv tfY flJ12lbt? TY )9<- (~ oe Q.~", )_
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u./ t III lVe7?7:)
Schedule a reinspection when the above items are corr cted. Call 360-478-5275
by 5:00 p.m. for next day inspection.
Date: 4fzz.~? Time:
f f;
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