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COMBINATION PERMIT <br /> CITY OF ANACORTES PERMIT NO: COM2000-00228 <br /> P.O. BOX 547 APPLIED: 12126100 <br /> ANACORTES, WA 98221 ISSUED: 9/5/01 <br /> (360)293-1901 EXPIRES: 9/5/02 <br /> SITE ADDRESS: 1209 11TH <br /> ASSESSOR'S PARCEL NO.: 3772-079-005-0009 <br /> PROJECT DESCRIPTION: Addtion to existing residence. <br /> OWNER CONTRACTOR LENDER <br /> ANNE REILLY <br /> 120911TH STREET <br /> ANACORTES,WA 98221 <br /> TYPE OF WORK: ADD AREA(SF) VALU: $60,000 FEES <br /> TYPE OF USE: SF LOT: REQUIRED SETBACKS <br /> CENSUS CATEGORY: 1ST FLR: FRONT: Type By Date Receipt Amount <br /> ZONING: 2ND FLR: SIDE(1): PLCK MRD 9/5/01 0106947 $203.45 <br /> RH BASEMENT: SIDE(2): ESPL MRD 9/5/01 0106947 -$100.00 <br /> OCCUPANCY GROUP: GAR/CARPORT: REAR: PRMT MRD 9/5/01 0106947 $313 00 <br /> R3 OTHER: REQUIRED PARKING PMEC MRD 9/5/01 0106947 $33.00 <br /> TYPE OF CONSTRUCTION: TOTAL: PPLM MRD 9/5/01 0106947 $48.00 <br /> 5N NUMBER OF UNITS: ACCESSIBLE: STBC MRD 9/5/01 0106947 $4 50 <br /> OCCUPANT LOAD: STORIES: COMPACT: Total $501.95 <br /> BUILDING HEIGHT: IMPRV SURF: , <br /> -MechanicalEquipment Plumbing Fixtures CITY OF ANACORTES <br /> Equipment Type Quantit Fixture Type Quanti MUNICIPAL BUILDING <br /> Other Units . y 1904 6TH STREET <br /> Lavatories I (360) 293-1908 <br /> Showers. . . . . . . 1 FINANCE DEPARTMENT <br /> Water Piping. and Water Treatment 1 BEG kECEIPT:83 0106947 C:Sep 85 2001 <br /> Water Closets(Toilets) 1 CASHIER ID:M 11:28 am A:Sep 85 2081 ' <br /> 1120 BUILDING PERMIT FE $103.45 <br /> 1120_AUILDING_PERMILFE $313.00 <br /> 1128 BUILDING PERMIT FE $33.00 <br /> 1120 BUILDING PERMIT FE $48.00 <br /> 3042 DTOGU STATE BUILDI $4.58 <br /> TOTAL DUE $501.95 <br /> RECEIVED FROM: <br /> GOLDFINCH CONSTRUCTION <br /> @HECK: $581.95 <br /> TOTAL TENDERED $501.95 <br /> CHANGE DUE $8.80 <br /> I hereby acknowledge that I have read this permit and state that the above information i correct, and agree to comply <br /> with all ordinances and laws regulating activities covered by this permit. C <br /> Issued by Appli t or Owner's Signature <br /> 24 Hour Notice Required For All Inspections <br />