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COMBINATION PERMIT <br /> CITY OF ANACORTES PERMIT NO. : COM97-0157 <br /> P.O. BOX 547 APPLIED: 08/13/97 <br /> ANACORTES, WA 98221 ISSUED: 08/18/97 <br /> (206) 293-1901 EXPIRES: 08/18/98 <br /> SITE ADDRESS: 2309 12TH <br /> ASSESSOR'S PARCEL NO. : 3772-237-008-0000 <br /> PROJECT DESCRIPTION: New single family <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...$: 82000 Code Amount---- By- Date---- Receipt - <br /> TYPE OF USE •SF LOT • 8000 REQUIRED SETBACKS---- ESPL $ -100.00 MD 08/18/97 7343 <br /> CENSUS CATEGORY -101 1ST FLR • 1250 FRONT • 20 ft PLCK $ 246.35 MD 08/18/97 7343 <br /> ZONING 2ND FLR 0 SIDE(1)..: 5 ft PRMT $ 379.00 MD 08/18/97 7343 <br /> :R2 BASEMENT • 0 SIDE(2)..: 10 ft PMEC $ 66.50 MD 08/18/97 7343 <br /> OCCUPANCY GROUP GAR/CARPORT...: 440 REAR • 20 ft PPLM $ 104.00 MD 08/18/97 7343 <br /> :R3 :? :? •? OTHER 0 REQUIRED PARKING-- STBC $ 4.50 MD 08/18/97 7343 <br /> TYPE OF CONSTRUCTION TOTAL • 0 SEWR $ 3333.00 MD 08/18/97 7343 <br /> :5N :? •? :? : NUMBER OF UNITS • 0 ACCESSIBLE.: 0 IMPT $ 400.00 MD 08/18/97 7343 <br /> OCCUPANT LOAD STORIES • 0 COMPACT • 0 STRM $ 1126.00 MD 08/18/97 7343 <br /> 0: 0: 0: 0: BUILDING HEIGHT.: 0 ft IMPRV SURF.: 0 sf INSP $ 50.00 MD 08/18/97 7343 <br /> FUEL TYPES BOILERS/COMPRESSORS- DOMES. INCIN •0 <br /> :/GAS/ / /: 0-3 HP • 0 COMML. INCIN •0 <br /> FURN < 100K BTU: 1 3-15 HP • 0 RELOC/REPAIR...: 0 TOTAL $ 5609.35 <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..: 0 <br /> VENT SYSTEMS...: 0 <= 10000 cfm.: 0 WOODSTOVES • 0 <br /> VENT W/O APPLI.: 0 > 10000 cfm.: 0 OTHER UNITS • 0 <br /> EVAP COOLERS...: 0 GAS OUTLETS • 1 <br /> HOODS • 1 <br /> WATER CLOSETS...: 2 WASHING MACHINES: 1 FLOOR DRAINS • 0 <br /> BATH TUBS • 2 ELEC WTR HEATERS: 0 WTR PIPING/TREAT: 1 <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 /> CAN ecd-n J 2(Sf C/l CI tll <br /> Issued by Applic nt or Owner's Signature <br /> 24 Hour Notice Required For All Inspections <br /> com_prmt, Rev: 11/04/93 <br />