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1''8 - U'' __ City of Anacortes Invoice/Permit#: BLD-2016-1375 <br /> 904 6th Street <br /> Applied date: 06/27/2016 <br /> ,5 P.O.Box 547 Issue date: 08/16/2016 <br /> z ' it4, Anacortes, WA 98221-0547 Ex rre date: 01f2912018 <br /> 1591 -' (360) 293-1901 p <br /> Job Address: 1105 22ND ST Permit Type: Single Family Residence Permit <br /> ANACORTES WA 98221 Project: <br /> APN: <br /> Remarks: New single family residence constructed per approved plans. <br /> Owner: STEVE MORRIS Contractor: JIM ZEVELY <br /> Address: 11455 WHISTLE LAKE RD Address: 4806 HARBOR VIEW PL <br /> ANACORTES WA 98221-4368 ANACORTES WA 98221-4087 <br /> • <br /> Phone: Phone: (360)293-4458 <br /> License#: JEVELJC110DN <br /> General Information: Fees: <br /> Occupancy Group it-1 Plan Review Deposit 200.00 <br /> Use Zone R-4A Building Permit Fee 1,508.95 <br /> Lot Area 3253 Plan Review Fee 780.82 <br /> 1st Floor Square Footage 1037 Mechanical Permit Fees 104.00 <br /> 2nd Floor Square Footage 539 Plumbing Permit Fee 118.00 <br /> Garage Square Footage 288 State Building Code Fee 4.50 <br /> Deck Square Footage 98 Sewer inspection Fee 50.00 <br /> Building Valuation 191300 Storm Drain GFC-Residential 1,408.06 <br /> # Forced Air Furnace<=1,000 1 Sewer GFC-Residential 8,987.40 <br /> #of Bathtubs 1 Park Impact Fee 615.00 <br /> #of Clothes Dryers 1 Traffic Impact Fee 900.00 <br /> #of Clothes Washers 1 Total Calculated: 14,676.73 <br /> #of Dishwashers 1 Deposits/Receipts: 0-00 <br /> #of Gas Piping 1 <br /> #of Gas Water Heaters 1 Total Due: 14,676.73 <br /> #of Water Piping 1 <br /> #of Hose Bibbs 2 ,-, -,-, r,; r• -(1r... <br /> #of Kitchen Sinks 1 Ti J,,, .`: ;,., ,,; ;, .. <br /> #of Lavatories 3 In �::; r; r;;i ; . <br /> 9.. ; ICI ,—. . <br /> #of Range Hoods 1 "" — <br /> i rl r,. 0-.. T7 . <br /> #of Showers 1 cn r. 1 �., r-a =, <br /> #of Ventilation Fans 4 --J `_, ;_.i , s, m, <br /> c.#of Water Closets 3 T.. cn r.d A ,- - <br /> t m :r' - <br /> m` try <br /> r. <br /> r• <br /> !XI <br /> 1_I I- <br /> T H IS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 D4S, C 1> <br /> CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED,. ;'=;1 ' <br /> HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PF OVISTO <br /> OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN ORTNOT; D E <br /> GRANTING OF A PERM ES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER;,STAT 0 <br /> LOCAL LAW REED N ON TRUC CAR THE PERFORMANCE OF CONSTRUCTION. . <br /> 1i �.� -4 .:.n <br /> P-.--- <br /> _.� --.1 -...1 -ri .jj ice. <br /> , t1 NAT ORAUTHORIZEDAG - ISSUED BY r.� y _ <br />