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COMBINATION PERMIT <br /> CITY OF ANACORTES PERMIT NO. : COM95-0066 <br /> P.O. BOX 547 APPLIED: 05/22/95 <br /> ANACORTES, WA 98221 ISSUED: 06/14/95 <br /> (206) 293-1901 EXPIRES: 06/14/96 <br /> SITE ADDRESS: 2219 21ST <br /> ASSESSOR' S PARCEL NO. : 3772-213-010-0009 <br /> PROJECT DESCRIPTION: New single family residence <br /> — OWNER — CONTRACTOR — LENDER <br /> ALBERT BOFFEY FAMILY LIMITED <br /> PARTNERSHIP <br /> 613 HONEYSUCKLER DRIVE ` <br /> MT. VERNON WA 98221 <br /> 424-0449 <br /> — FEES <br /> TYPE OF WORK •NEW AREA (sf) VALU...$: 123000 Code Amount---- By- Date---- Receipt <br /> TYPE OF USE .SF LOT • 7500 REQUIRED SETBACKS---- ESPL $ -100.00 MD 06/14/95 3968 <br /> CENSUS CATEGORY •101 1ST FLR - 1106 FRONT • 20 ft PMEC $ 77.50 MD 06/14/95 3968 <br /> ZONING 2ND FLR • 969 SIDE(1)..: 5 ft PPLM 8 125.00 MD 06/14/95 3968 <br /> :R2 BASEMENT 0 SIDE(2)..: 10 ft STBC $ 4.50 MD 06/14/95 3968 <br /> OCCUPANCY GROUP GAR/CARPORT...: 572 REAR • 20 ft SEWR $ 3258.00 MD 06/14/95 3968 <br /> :R3 :? :? :? OTHER • 256 REQUIRED PARKING-- IMPT 8 400.00 MD 06/14/95 3968 <br /> TYPE OF CONSTRUCTION TOTAL • 0 INSP $ 50.00 MD 06/14/95 3968 <br /> :5N •? :? :? : NUMBER OF UNITS • 1 ACCESSIBLE.: 0 PLCK $ 318.83 MD 06/14/95 3968 <br /> OCCUPANT LOAD STORIES • 2 COMPACT • 0 PRMT $ 490.50 MD 06/14/95 3968 <br /> . 0: 0: 0: 0: BUILDING HEIGHT.: 0 ft IMPRV SURF.: 0 sf <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 8 4624.33 <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 • 4 AIR HANDLING UNITS-- FIRE LOG/LITE..: 1 <br /> VENT SYSTEMS...: 0 <= 10000 cfm.: 0 W00DSTOVES • 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...: 3 WASHING MACHINES: 1 FLOOR DRAINS • 0 <br /> BATH TUBS - 2 ELEC WTR HEATERS: 0 WTR PIPING/TREAT: 0 <br /> SHOWERS • 1 LAUNDRY TRAYS...: 0 HOSE BIBBS • 2 <br /> DISHWASHERS - 1 URINALS • 0 GREASE TRAPS • 0 <br /> LAVATORIES • 4 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 /> Issued y Applicant or Owner' s ig re <br /> 24 Hour Notice Required For All Inspections <br /> comyrmt, Rev: 11/04/93 <br />