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• »= FOR INSPECTIONS CALL ' CITY OF ANACORTES•: PERMIT -. <br /> + 1, <br /> 2931901 BUILDING ;PERMIT' - -, <br /> 24;Hrs Notice Requested - Site Address 2006 -�2th .Sire t <br /> NAME(O,R',NAME OF'BUSINESS} pLCIMI3IOG ' <br /> it 'd. Sharon Hi41,sei't , ' <br /> 1" MAILING ADDRESS , <br /> { .2OD5, 1?th Street <br /> .No,, TYPE OF FDIT IRVOR'ITEM • FEE <br /> 'i'' g CITY TELEPHONE NUMBER Water Closet $ <br /> Anacort es, WA 98221 293-6al'70 " ' Bathtub . <br /> , , NAME <` Lavatory <br /> 34 t Shower : <br /> 11 ADDRESS ' Kitchen Sink.'. <br /> 'i''* -`, Dishwasher ' _ <br /> CITY TELEPHONE NUMBER Laundry Tray ' <br /> '` Clothes Washer <br /> -;,` NAME Water Heater - - <br /> '3a; a <br /> Savage "Roof ing Urinal <br /> f;."N Q ADDRESS ��`. Drinking Fountain <br /> 1' Fk. 53 Box 336 - - Floor Sink or"Drain ' <br /> `'.i; CITY TELEPHONE NUMBER ' SlopSink <br /> ,,7� o Anacortes, WA 98221 283-837121 Water Piping" ' <br /> V, STATE LICENSE NUMBER CITY LICENSE NUMBER -, <br /> 1 <br /> -,y., , DResidedtial;', 0 Non-Residential i;;?: PERMIT ( $ <br /> p: " ❑Na' 5.:111:Add `❑'Alter- ',:' ^C Repair „ TOTAI EE $ <br /> _' ' ❑KBuilding,:t: ' '0 Plumbing' :, roi Mechanical • .MECHANICgAL - . <br /> c' ❑ Slgn, '[ ('S❑ Demolition ' ' 'Other ❑ GAS IL d O !❑ ELECT„ ❑ OTHER <br /> * ' Legal Description of Property or Tax Account Nymlier s' `r` - 1 <br /> No TYPE,OF EQUIPMENT FEE <br /> n' Lot , Block of ' to <br /> $ " Air Cond. Unit $ . <br /> °;, �. 5' Refrige'ration7Unit HP - <br /> '" - - Boiler'= HP' <br /> ` '. Forced Air System— " BTU/KW <br /> f,k. Describe Work ?, Floor,,Furnace, <br /> Reno £ ver existing I"aofeang w% -• Wall Heater":. ' ;: <br /> '' Peboo comp roof systeis clisa A add' Unit!He$ter :;, <br /> V 3 vSnt l :i Clothe,'s:Dryer, <br /> i r,. ' Occupancy Use `:',•_ ventilation Fan <br /> ' D(Single.Family Residence 0 Multi-Family Residence riT, Range4Hood 9r <br /> 0 Office 0 Retail 0 Storage 0 Church Air,Handling;Unit- {' CFM <br /> `Is , 0 Restaunuit 0 Other Pre manufactured Stove or Firepla''ce <br /> ''"' NOTICE G'as Piping .•., <br /> �''_; This permit is.issued by the Building,Official and,under the provisions ' - <br /> s • <br /> of the Uniform Building Code shall expire by lumtationiand become null = - <br /> , and void if the+building or work authorized by such permit is not coin- PERMIT' $ <br /> ,, , menced within 180 days from the date of permit issuanc Iror if the building IOTA` ° FEE.. $ ' <br /> 7<„, or work auth'oriied by such-permit is'sus'pended or abandoned at any time - .. - - <br /> ,' after the work is commenced for a period of 180 dajlat TOTAL:FEES 'VAL,CATION FEE <br /> 1 ,`i By affi)iing my,signature, I hereby'certify that I,anillie owner of the - 24.00 <br /> s Building,, 1 , 3'15.ft ^ $ <br /> -;, propertf'Ifoi which this permit is issued or am an authorized represen- Plan Check 0 m 00 <br /> ,? :tadve of die owner. <br /> 'FY All provisions of laws and ordinances governing this^.Eype of work will : Plumbing <br /> , <br /> j 'IS be complied with whether specified herein or not,including routine calls Mechanical <br /> for inspections. • `Sign <br /> ))L,'j,,+,� �' ,Demolition <br /> `' B i 17,�d,+�' j'. fi"''=:i`"'a!i ,Energy Surcharge t <br /> S nature Owner or,Audwrized ,(Date) State Surcharge 4.60 <br /> Other.' <br /> ' Street Setback Side Yard Setback [leer Yard Setback 4, <br /> ,,: . TOMIg $ 28.60 <br />! . r` the Zone Occupancy Group Type of.Coast Conditions <br /> .Cf: <br /> r.,, Lot Area Vacant Site Dwslbng�Uma 1 <br /> frl ❑Yes ❑No .. <br /> 1 ''; Fire Sprinklers Required No.of Stories Bedrooms Occup4tLoad ' <br /> O Yes ❑No <br /> II. '' Plans,Ch`fcked By: '"p F Size of Bldg. <br /> if::: 11 <br /> I4,4 <br /> S*C <br /> 4 WHEN SIGNED AND DATED BELOW THE IS YOillt PERMIT <br /> is s'n vsec i` 1 4 1 <br /> tthtseon a a4 toothe a''to 4,t dar tubed r acoudsng fo tte'eondniot�o - i[....1: aith sg. pprove iplem spea5nh perfa)Yusg,thiefe.Subieet to ' <br /> y R mmp5ariee'srith,ilse'ordimaee"e of the CITY OF ANACORTES ".:t. ".q <br /> 11/t3&f91 . <br /> I ','F 'Permit Issued By (-hi"\,i.' An a st.k.i fec-1;iir itt2 ., rj <br /> g- 'Building Official (Dad;) t', <br /> 1 : Edwin Frank <br /> 4:?: PERMIT 1 <br />