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COMBI <br /> NATION PERMIT <br /> CITY OF ANACORTES PERMIT NO. : C0M97-0183 <br /> P.O. BOX 547 APPLIED: 09/25/97 <br /> ANACORTES, WA 98221 ISSUED: 01/06/98 <br /> (206) 293-1901 EXPIRES: 01/06/99 <br /> SITE ADDRESS: 2301 12TH <br /> ASSESSOR' S PARCEL NO. : 3772-237-003-0000 <br /> PROJECT DESCRIPTION: New single family residence <br /> — OWNER — CONTRACTOR — LENDER <br /> T.A. DICKEY KEY CONSTRUCTION <br /> P.O. BOX 253 P.O. BOX 253 <br /> ANACORTES WA 98221 ANACORTES WA 98221 <br /> 293-9465 293-9465 <br /> KEYCO**132K8 <br /> — FEES <br /> TYPE OF WORK •NEW AREA (sf) VALU...$: 74800 Code Amount---- By- Date---- Receipt - <br /> TYPE OF USE •SF LOT • 8000 REQUIRED SETBACKS---- ESPL $ -100.00 MD 01/06/98 7859 <br /> CENSUS CATEGORY •101 1ST FLR • 1200 FRONT • 20 ft PLCK $ 232.70 MD 01/06/98 7859 <br /> ZONING 2ND FLR 0 SIDE(1)..: 5 ft PRMT $ 358.00 MD 01/06/98 7859 <br /> :R2 BASEMENT • 0 SIDE(2)..: 10 ft PMEC $ 70.00 MD 01/06/98 7859 <br /> OCCUPANCY GROUP GAR/CARPORT...: 500 REAR • 20 ft PPLM $ 97.00 MD 01/06/98 7859 <br /> :R3 •? •? •? OTHER 0 REQUIRED PARKING-- STBC $ 4.50 MD 01/06/98 7859 <br /> TYPE OF CONSTRUCTION TOTAL • 0 IMPT $ 400.00 MD 01/06/98 7859 <br /> :5N •? :? :? : NUMBER OF UNITS • 1 ACCESSIBLE.: 0 STRM $ 1126.00 MD 01/06/98 7859 <br /> OCCUPANT LOAD STORIES • 1 COMPACT • 0 INSP $ 50.00 MD 01/06/98 7859 <br /> 0: 0: 0: 0: BUILDING HEIGHT.: 0 ft IMPRV SURF.: 0 sf SEWR $ 3333.00 MD 01/06/98 7859 <br /> FUEL TYPES BOILERS/COMPRESSORS- DOMES. INCIN •0 <br /> :/GAS/ / /: 0-3 HP • 0 COMML. INCIN •0 i <br /> FURN < 100K BTU: 1 3-15 HP • 0 RELOC/REPAIR...: 0 TOTAL $ 5571.20 <br /> FURN >=100K BTU: 0 15-30 HP • 0 CLOTHES DRYERS.: 1 <br /> FURN - FLOOR...: 0 30-50 HP • 0 GAS WTR HEATERS: 1 — NOTES <br /> UNIT HEATERS...: 0 50+ HP • 0 STOVE, APPLI...: 1 <br /> VENT FANS • 3 AIR HANDLING UNITS-- FIRE LOG/LITE..: 1 <br /> VENT SYSTEMS...: 0 <= 10000 cfm.: 0 WOODSTOVES • 0 <br /> VENT W/O APPLI.: 0 > 10000 cfm.: 0 OTHER UNITS • 0 I <br /> EVAP COOLERS...: 0 GAS OUTLETS • 0 <br /> HOODS • 1 <br /> WATER CLOSETS...: 2 WASHING MACHINES: 1 FLOOR DRAINS • 0 <br /> BATH TUBS • 2 ELEC WTR HEATERS: 0 WTR PIPING/TREAT: 0 <br /> SHOWERS • 0 LAUNDRY TRAYS...: 0 HOSE BIBBS • 2 <br /> DISHWASHERS • 1 URINALS • 0 GREASE TRAPS • 0 <br /> LAVATORIES • 2 WASTE INTERCEPT.: 0 ADD'L FIXTURES..: 0 <br /> KIT SINKS W/DISP: 1 DRINKING FOUNT..: 0 <br /> I hereby acknowledge that I have read this permit and state that the above information is correct, and agree to comply with all <br /> ordinances and laws regulating activities covered by this permit. <br /> j l ( <br /> Issued by AIDE-1-6 nt or Owner' s `Signature <br /> 24 Hour Notice Required For All Inspections <br /> comjrmt, Rev: 11/04/93 <br /> 1 <br />