|
O.
<br /> 4FOR INSPECTIONS CALL: ' CITY OF ANACORTES Paw Na '
<br /> 2934901 ' BUILDING'PERMIT
<br /> -'24,Hrs. Notice Requested Site Address-94,S 2nd Street
<br /> NAME(ORVNAME OF BUSINESS)
<br /> „;, ' gg.,f,,'' 'Cr ek, Ind. PLUMBING
<br /> i. 'tMAIIIING ADDRESS
<br /> ' h. tee t Na TYPE OF FIXTURE OR'.ITEM FEE
<br /> + I:CITY' ' TELEPHONE NUMBER " Water Closet $
<br /> 'S t"'test, WA 08221 293— . Bathtub
<br /> NAItifE Lavatory
<br /> Shower
<br /> i Ik 4 ADbRESS Kitchen Sink '
<br /> l
<br /> . ` ,� i,.',��I;,',il'Ir '' - Dishwasher
<br /> y „ ethyl TELEPHONE NUMBER Laundry Tray
<br /> -yin 'I+,ir'a,,i, Clothes Washer •.
<br /> ,`;�'� Ill' NAIME Water Heater _
<br /> ` jal �r �' ' ;Energy ergy Prod. Urinal
<br /> f� I1,-!,ADDRESS - Drinking Fountain '
<br /> �_�1'I;i�'i•' .,I.',' Trent „, Floor Sink or Drain
<br /> 'r i'�Cii�i�''�iil' TELEPHONE NUMBER - Slop Sink
<br /> 'ji i0°A l�,�ane a WA 99202 8tDO- 9 2-1039 Water Piping
<br /> ki1,1?° SS'ATE LICENSE NUMBER CITY LICENSE NUMBER '
<br /> i s i I 'HEP 14SOE -
<br /> ,jj{j�,�;IBC®�i,R'e"sidentiel OfNon-Residential , PERMIT $
<br /> II1II I!1'��a��It'eiii: O'Add 0 Alter O'Repair TOTA�'FEE $ —
<br /> bH„ii 1,. IIH!IIII$hirlding ❑ Plumbing D,fMechanical MECHANICAL
<br /> �ry1i fl(l. Ego ❑ Demolition ❑ Other O GAS O OIL O,ELECr. ❑ OTHER
<br /> '0!Illd O�flILVI Description of Property'oF,Tax Accoynt;'Number1' ' - ,.r `: �h c s �,,;t 1
<br /> V'I 11 No ,t itin.:':OPEQUIPMENT FEE
<br /> 10.1?' PL IId4-1 Block 2T of -ainfn1 PI at'�� .111411)0i Air Cond. Unit $
<br /> to ' 'I ;''I'I'.1Il i','"'- Refrigeration Unit— HP ,
<br /> F gl p' s j• 1 Boiler— 14 HP 1 ,64)
<br /> '.j II'. I,�! III; Forced Air System— BTU/KW
<br /> ',Desclribe Work Ploor Furnace
<br /> ��,� ' lip'�P�i: ii �i3O'teil l O11 Furnace Wall Heater '
<br /> .i j;:, .I: r ,,i!1
<br /> °l !; !,li Unit Heater -
<br /> II IIil di; lip l;'I _ Clothes Dryer
<br /> .'ll l I '',1 1,111.11pancy Use' . Ventilation Fan. --- -
<br /> .
<br /> P', r,p,'S,IItgle Family Residence ' ❑Multi-Family Residence Range Hood .. . .
<br /> 'I '. I I'I)I',QII Ioffice ' ❑ Retail ® Storage ❑ Church Air Handling Unit— CFM
<br /> x I! 1 O,t4estaurant 0 Other • Pre-manufactured Stove or Fireplace '
<br /> I I'�„k�l l , N 61j NOTICE Gas Piping -
<br /> �I I''; ,1.4 Ipll tt is issued by the Building Official and,under the provisions
<br /> of the, inform Building Code,shall expire by limitationrand become null -
<br /> ulll'II"
<br /> j two td ' the building or work authorized by such permit is'not corn- PERMIT $ 15 ,00
<br /> ii,thin 180 days from the date of permit;salience,*if the building TOTAL'FEE $ 31 ,5O
<br /> II:imil t IIIu
<br /> ' lh111101
<br /> rl�lY ok utoonzed by such permit is suspended or abandoned at any time • • -
<br /> �w work is commenced for a period''of I8O'days.
<br /> IIII II li TOTAL FEES . ' VALUATIONa y la i$ing my signature, I hereby certify that I ani the owner of the
<br /> II ul,d uu `Car which this Building $
<br /> - �tip,!tl'�'u, permit is issued or am an authorized represen- .
<br /> the owner. - Plan Check _ 0 , O
<br /> ,I ,411 !II,.Irstoac'of laws and ordntances governing this type of work will. 31 ,*30
<br /> _ gthu Haled with whether specified herein or not,including routine calls' Mechanical-
<br /> fmultsul^•1 .
<br /> .I rms fens. Sign
<br /> �I i Y''Id*I' ' Demolition
<br /> I, ,,,, "„4:( .Energy Surcharge "' _
<br /> 1318 a Ig 111011 of Owner:or;Audmruzd Agent (Date) State Surcharge
<br /> IkS Igeiiiki:'- Side Yid setback Rear Yaid Setback '',Other TOTAL $ 31 iCl
<br /> Ill 4�'llI!'I Il I
<br /> 'jf,[1:E!?II 'I Oocvpanry st.Group Type of Con
<br /> Conditions:
<br /> It lif II 1 III; 1!II'I,
<br /> IcoirAiea,I'I' Vacant Site Dwelling Units
<br /> ;,,I, ,;I' j jit„; ❑Yes CI No - '
<br /> tier.
<br /> (Fite S;ptin 4k'ters Required No. of Stories Bedrooms Occupant_[pad
<br /> D�Iik: I I" ❑I'INo ' -
<br /> %4
<br /> w ISI of BWIg• Plans Checked By: - -
<br /> .P
<br /> n li: I I WHEN SIGNED AND-DATED BELOW,SIRS IS YOUR PERMIT• '
<br /> I' ,' ,I, I, lit hereby gwen to do the•above deem'hed.wark-aim bog to the co ditions
<br /> • )i 1 hereon aril aeemding to the approved plme'and speofiiafioste pertaining therto,subjeet..to .
<br /> ,7I Imm�lliaoee with the ordwncel'of the CITY OF ANACORTES.
<br /> 'I3.1 II, 1•I', III
<br /> y,' ' 1 414/02/92
<br /> j.j IIPermltt Issued By e.1 !Air .icti . s' (---r'{o(. -. .
<br /> ti 'i'; ll !'''! t -Budding Official (Date) '
<br /> Edwin Fria-
<br /> PERMIT st*`.' 9832
<br />
|