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COMBINATION PERMIT <br /> CITY OF ANACORTES PERMIT NO. : COM97-0034 <br /> P.O. BOX 547 APPLIED: 02/13/97 <br /> ANACORTES, WA 98221 ISSUED: 02/13/97 <br /> (206) 293-1901 EXPIRES: 02/13/98 <br /> SITE ADDRESS: 1112 18TH ST <br /> ASSESSOR' S PARCEL NO. : 3772-051-016-0005 <br /> PROJECT DESCRIPTION: Add Dormer & Deck. <br /> — OWNER — CONTRACTOR — LENDER j <br /> MARGRET FOLSOM NM BUILDERS <br /> 22726 19TH DRIVE NE 5809 SANDS WAY <br /> ARLINGTON WA 98223 ANACORTES WA 98221 <br /> 670-6662 435-8570 293-2771 <br /> MNBUIDL091K8 — FEES <br /> TYPE OF WORK •ADD AREA (sf) VALU...$: 30000 Code Amount---- By- Date---- Receipt I <br /> TYPE OF USE •SF LOT • REQUIRED SETBACKS---- PRMT $ 193.00 MD 02/13/97 6534 <br /> CENSUS CATEGORY •999 1ST FLR • FRONT • 0 ft PMEC $ 21.50 MD 02/13/97 6534 <br /> ZONING 2ND FLR • SIDE(1)..: 0 ft PPLM $ 41.00 MD 02/13/97 6534 <br /> :R2 BASEMENT • SIDE(2)..: 0 ft STBC $ 4.50 MD 02/13/97 6534 <br /> OCCUPANCY GROUP GAR/CARPORT...: REAR 0 ft <br /> :R3 •? •? •? OTHER REQUIRED PARKING-- <br /> TYPE OF CONSTRUCTION TOTAL • 0 <br /> :5N •? •? :? : NUMBER OF UNITS • ACCESSIBLE.: 0 i <br /> OCCUPANT LOAD STORIES • COMPACT • 0 <br /> 0: 0: 0: 0: BUILDING HEIGHT.: ft IMPRV SURF.: 0 sf <br /> FUEL TYPES BOILERS/COMPRESSORS- DOMES. INCIN - <br /> :/GAS/ / /: 0-3 HP • 0 COMML. INCIN • <br /> FURN < 100K BTU: 0 3-15 HP • 0 RELOC/REPAIR...: TOTAL $ 260.00 <br /> FURN >=100K BTU: 0 15-30 HP • 0 CLOTHES DRYERS.: <br /> FURN - FLOOR...: 0 30-50 HP • 0 GAS WTR HEATERS: — NOTES <br /> UNIT HEATERS...: 0 50+ HP • 0 STOVE, APPLI...: <br /> VENT FANS • 0 AIR HANDLING UNITS-- FIRE LOG/LITE..: <br /> VENT SYSTEMS...: 0 <= 10000 cfm.: 0 WOODSTOVES • ' <br /> VENT W/0 APPLI.: 0 > 10000 cfm.: 0 OTHER UNITS • 1 <br /> EVAP COOLERS...: 0 GAS OUTLETS • 0 <br /> HOODS • 0 <br /> WATER CLOSETS...: 1 WASHING MACHINES: FLOOR DRAINS • 0 <br /> BATH TUBS • 1 ELEC WTR HEATERS: WTR PIPING/TREAT: 0 <br /> SHOWERS • 0 LAUNDRY TRAYS...: HOSE BIBBS • 0 <br /> DISHWASHERS • 0 URINALS GREASE TRAPS • 0 <br /> LAVATORIES • I WASTE INTERCEPT.: AWL FIXTURES..: 0 <br /> KIT SINKS W/DISP: 0 DRINKING FOUNT..: <br /> I <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 /> M,rarLPyC-{-P jr-ieN il-"Cl—' -e'Z}-----> <br /> Issued by Applic. t or Owner's Signature <br /> 24 Hour Notice Required For All Inspections <br /> com prmt, Rev: 11/04/93 <br />