|
• »= 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 />
|