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- <br /> 'tI <br /> a <br /> '-,,:•FOR INSPECTIONS CALL: :CITY OF ANACORTES `' PERMIT ' ,° <br /> 293-1901 BUILDING PERMIT <br /> 2601 17th Street <br /> -- -24 Hrs. Notice Requested Site Address <br /> 7y�A�I�vThB.�(f1114Iptp01,IfED So1V BUSINESS) PLUMBING <br /> ' 4-ts'JT l e LYY aT,i• e�. � No. TYPE OF FIXTURE OR ITEM FEE <br /> Q RES <br /> . ,1/21 ' o <br /> ITY TELEPHONE-NUMBER P UMBER Water Closet $ <br /> CITY WA 98221 :a°.�J-� Bathtub <br /> NAME - Lavatory <br /> r!: - Shower • ' <br /> I`` p ADDRESS Kitchen Sink t. <br /> N ' z„ C Dishwasher - <br /> U <br /> p' CITY TELEPHONE NUMBER Laundry Tray <br /> Clothes Washer <br /> NAME Water Heater III <br /> �aavage Roofing, hire Urinal <br /> ix <br /> y ApDDRA�gg Drinking Fountain <br /> G BOX 33fa <br /> Floor Sink or Drain I <br /> o33 CITY TELEPHONE NUMBER Slop Sink I <br /> Ana,cortes, WA 98221 293--2021 water Piping I <br /> U STATE LICENSE NUMBER CITY LICENSE NUMBER - - - <br /> _I. .SAVAORI*114P0 4344 , <br /> [IT-Residential 0 Non-Residential _ PERMIT $ <br /> , ,; I❑ New 0 Add 0 Alter G ^Repair TOTAL'FEE $ <br /> ',`, ` '4. '[Building 0 Plumbing ❑Mechanical MECHANICAL <br /> !:.;. 0 Sign ❑ Demolition J Other - ❑ GAS ❑ OIL 0 ELECT. 0 OTHER <br /> t,' 'd ILegal Description of Property or Tex Account Number 1 /� r-�('� No. TYPE OF EQUIPMENT FEE <br /> ',Lot I-3 Block l® of kE-( L-� ND t-��"^' <br /> � , Air Cond. Unit - $ <br /> 135t j • Oft( ' cO'• nb69i Refrigeration Unit— HP I' <br /> Boiler— HP <br /> ,, ,. Forced Air System— BTU/KW <br /> fir,', ',Describe Work Floor Furnace <br /> g` remove and replace existing roof Wall Heater <br /> ."; - Unit Heater <br />{ Clothes Dryer <br /> Occupancy Use - Ventilation Fail <br /> , 4; 21 Single Family Residence 0 Multi-Family Residence Range Hood <br /> 0 Office ❑ Retail 0 Storage 0 Church Air Handling Unit— CFM <br /> 0 Restaurant ❑ Other - Pre-manufactured Stove or Fireplace <br /> ;? NOTICE Gas Piping - <br /> t a This permit is issued by the Building Official and,under the provisions . <br /> i ii of the Uniform Building Code,shall expire by limitatiori and become null <br /> ' "' and void if the building or work authorized by such permit is not com- PERMIT $ <br /> } menced within 180 days from the date of permit issuance,or if the building TOTAL'FEE $ <br /> i!,. or work authorized by such permit is suspended or abandoned at any time � - <br /> after the work is commenced for a-period of 180 days. TOTAL FEES VALUATION FEE <br /> By affixing my signature, I hereby certify that I amthe owner of the Building3 ,955 .00[ $ 45. 00 <br /> >'!, property for which this permit is issued or am an authorized represen- - <br /> ` ', tative of the owner. Plan Check 0.00 <br /> k ,' Plumbing <br /> All provisions of laws and ordinances govemingihis type of work will Mechanical <br /> "r i' be complied with whether-s ified.fle idor,got;including routine calls <br /> ,`" for inspect s::- ,. ,� fir Sign <br /> I. .r '.. G r a,{ ;i`' K Demolition <br /> ? '' z+�4.__.._l^_y.. " /t t ,7 ;Energy Surcharge i ,' " . 8Y rg <br /> S Owner or Authorizes Agent .(bate) State Surcharge = 4 , 5 a <br /> Other <br /> Street Setback ISide Yard Setback Rear Yard Setback - <br /> TOTAL $ 4 fI, fr 0 .! <br /> ^ Use Zone Occupancy Group Type of coast. Conditions: <br /> ' Lot Area Vacant Site Dwelling Units <br /> ❑Yes ❑No <br />• Fire Sprinklers Required No.of Stories Bedrooms Occupant Load <br />"{4 ❑Yes ❑No 11 <br /> Size of Bldg. Plans Checked By: , <br /> <'� WHEN SIGNED AND DATED BELOW,THIS IS YOUR PERMIT <br /> Permission is hereby given to do the above deathbed work,according to the conditions <br /> hereon and according to the approved plans and specifications pertaining therto,subject to - <br /> compliance with the ordinances of the CITY OF ANACORTES. . - <br /> - Permit Issued,By. '.,.,.,,,i 1:1_.,,... E..H._.k, itt . <br /> I Building Official (Date) <br /> I <br /> a Edwin Frank <br /> PERMIT nit t79 2 <br />