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0 0 <br /> FOR INSPECTIONS CALL: CITY OF ANACORTES PERMIT .^Jf, 8910 <br /> 293.1901 BUILDING PERMIT <br /> 24 Its. Notice Requested Site Address 1308 10th Street <br /> NAME(OR NAME OF BUSINESS) <br /> ' Lavonne Murdock PLUMBING <br /> MAILING ADDRESS No. TYPE OF FIXtURE OR ITEM FEE <br /> 1308 loth Street <br /> CITY TELEPHONE NUMBER Water Closet $ <br /> Anacortes, WA 98221 .Bathtub <br /> NAME Lavatory <br /> Shower <br /> ADDRESS _ Kitchen Sink <br /> Dishwasher ' <br /> CITY TELEPHONE NUMBER Laundry Tray <br /> Clothes Washer <br /> • NAME Water Heater <br /> m <br /> Great N.W Siding Co Urinal <br /> ADDRESS Drinking Fountain <br /> 11104 105th Avenue Floor Sink or Drain <br /> CITY TELEPHONE NUMBER Slop Sink <br /> co Kirkland, WA 98033 822-8388 Water Piping <br /> STATE LICENSE NUMBER CITY LICENSE NUMBER <br /> I$Residential ❑ Non-Residential PERMIT $ <br /> ❑New ❑ Add ❑ Alter ❑ Repair T9FAL FEE $ <br /> IB Building 0 Plumbing 0 Mechanical MECHANICAL <br /> ❑ Sign 0 Demolition 0 Other ❑ GAS 0 OIL 0 ELECT. ❑ OTHER <br /> Legal Description of Property or TM Account Number <br /> No. TYPE OF EQUIPMENT FEE <br /> Lot Block of <br /> Air Cond. Unit $ <br /> Refrigeration Unit— HP <br /> Boiler— HP <br /> Forced Air System— BTU/KW <br /> Describe Work ' Floor Furnace <br /> New Siding, reroof and therm° Wall Heater <br /> windows Unit Heater <br /> Clothes'Dryer <br /> Occupancy Use Ventilation Fan <br /> El Single Family Residence 0 Multi-Family Residence Range Hood <br /> 0 Office ❑ Retail 0 Storage 0 Church Air Handling Unit— CFM _ _ <br /> ❑ Restaurant ❑Other Pre-manufactured Stove or Fireplace <br /> NOTICE Gas Piping <br /> This penal is issued by the Building Official and,under the provisions <br /> of the UniformBuilding Code,shall expire by limitation and become null <br /> and void if the,building or work authorized by such permit is not corn- PERMIT $ <br /> menced within 180'days from the date of permit issuance,or if the building TOTAL FEE $ <br /> or work authorized by such permit is suspended or abandoned at any time - <br /> after the work is commenced for a period of 180 days. TOTAL FEES VALUATION FEE <br /> By affixing my signature, I hereby certify that I am the owner of the Building 10,000.00 $ t 1 .UO <br /> property for which this permit is issued or am an authorized represen- <br /> tative of the owner. Plan Check 0. 00 <br /> All provisions of laws and ordinances governing this type of work will Plumbing <br /> be complied with whether specified herein or not,including routine calls Mechanical <br /> for inspections. Sign <br /> J <br /> Demolition <br /> 'CY? 47 en a CA,�,�_. 24/Ci( Energy Surch rge _ <br /> Damn;or r or Amno�ea Apar' (Date) State Surcharge 4. 50 <br /> Seen Setback Side Yard Setback Rear Yard Setback Other <br /> TOTAL $ 8500 <br /> Use lone occupancy Oroup 'Type of Conn. Conditions: <br /> To <br /> Let Area Vacant Sit Daelling Units <br /> ❑Yes ❑No <br /> Fin Sprinkien Required No.of Stories Bedrooms Occupant Load <br /> ❑Ya ❑No <br /> Size of Bldg. Pam Checked By: <br /> WHET*SIGNED MID DATED EEtow, IS YOOERR PERMIT <br /> Peamlaan le hereby On to do the above daa work,erne g to the conditions <br /> haem ad aeeflg to the sp roved Maas and seecilleaties Rmtiittig taat.,subject to <br /> eampW—with the ordinances of the CITY OF ANAOORITS. <br /> 07/08/91 <br /> Permit Issued ByN1.A: Li f I .(i :---`' a>'f 9 _ <br /> �a <br /> iai SS <br /> Edwin Fr nk .{ <br /> PERMIT Ves it <br />