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COMBINATION PERMIT <br /> CITY OF ANACORTES PERMIT NO. : C0M97-0135 <br /> P.O. BOX 547 APPLIED: 06/30/97 <br /> ANACORTES, WA 98221 ISSUED: 08/19/97 <br /> (206) 293-1901 EXPIRES: 06/19/98 <br /> SITE ADDRESS: 2220 12TH ST <br /> ASSESSOR'S PARCEL NO. : 3809-401-006-0007 <br /> PROJECT DESCRIPTION: Add bedroom to existing residence. <br /> — OWNER — CONTRACTOR — LENDER <br /> R.0 NIEUWEJAAR <br /> 392 CHILKAT STREET <br /> LACONNER WA 98257 <br /> 466-2118 <br /> — FEES <br /> TYPE OF WORK -ADD AREA (sf) VALU...$: 39000 Code Amount---- By- Date---- Receipt <br /> TYPE OF USE •SF LOT • 7500 REQUIRED SETBACKS--- PLCK $ 151.78 MD 08/19/97 7351 <br /> CENSUS CATEGORY •434 1ST FLR • 723 FRONT 20 ft PRMT $ 233.50 MD 08/19/97 7351 <br /> ZONING 2ND FLR 0 SIDE(1)..: 0 ft PMEC $ 58.00 MD 08/19/97 7351 <br /> :R3 BASEMENT • 0 SIDE(2)..: 0 ft STBC $ 4.50 MD 08/19/97 7351 <br /> OCCUPANCY GROUP GAR/CARPORT...: 336 REAR 0 ft <br /> :R3 •? •? •? OTHER 0 REQUIRED PARKING-- <br /> TYPE OF CONSTRUCTION TOTAL • 0 <br /> :5N •? :? :? : NUMBER OF UNITS • 1 ACCESSIBLE.: 0 <br /> OCCUPANT LOAD STORIES • 1 COMPACT • 0 <br /> 0: 0: 0: 0: BUILDING HEIGHT.: 0 ft IMPRV SURF.: 0 sf 1 <br /> FUEL TYPES BOILERS/COMPRESSORS- DOMES. INCIN •0 <br /> :/GAS/ / /: 0-3 HP • 1 COMML. INCIN •0 <br /> FURN < 100K BTU: 0 3-15 HP • 0 RELOC/REPAIR...: 0 TOTAL $ 447.78 <br /> FURN >=100K BTU: 0 15-30 HP • 0 CLOTHES DRYERS.: 1 <br /> FURN - FLOOR...: 1 30-50 HP • 0 GAS WTR HEATERS: 0 — NOTES <br /> UNIT HEATERS...: 1 50+ HP • 0 STOVE, APPLI...: 0 <br /> VENT FANS • 0 AIR HANDLING UNITS-- FIRE LOG/LITE..: 0 <br /> VENT SYSTEMS...: 0 <= 10000 cfm.: 1 WOODSTOVES • 0 <br /> VENT W/O APPLI.: 0 > 10000 cfm.: 0 OTHER UNITS • 0 <br /> EVAP COOLERS...: 0 GAS OUTLETS • 1 <br /> HOODS • 0 <br /> WATER CLOSETS...: 0 WASHING MACHINES: 0 FLOOR DRAINS • 0 <br /> BATH TUBS • 0 ELEC WTR HEATERS: 0 WTR PIPING/TREAT: 0 <br /> SHOWERS • 0 LAUNDRY TRAYS...: 0 HOSE BIBBS • 0 <br /> DISHWASHERS • 0 URINALS • 0 GREASE TRAPS • 0 <br /> LAVATORIES • 0 WASTE INTERCEPT.: 0 ADD'L FIXTURES..: 0 <br /> KIT SINKS W/DISP: 0 DRINKING FOUNT..: 0 <br /> I hereby acknowledge that I have read this permit and state that the above infor on is correct, and agree to comply with all <br /> ordinances and laws regulating activities covered by this permit. <br /> / LS•arr, <br /> Issued by Applic t or wner's Signature <br /> 24 Hour Notice Required For All Inspections <br /> comprmt, Rev: 11/04/93 <br />