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<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
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