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<br /> FOR INSPECTIONS CALL S:. CITY OF ANACORTES :.( ); PERMIT AFT, 8532
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<br /> . :293-1901 :-.BUILDING PERMIT
<br /> , 24 Hrs. Notice Requested . Site'Address 1901 '22wd Street
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<br /> NAME (OR NAME OF BUSINESS) . PLUMBING
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<br /> Evelyn Leatherwond .•
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<br /> - . MAILING ADDRESS
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<br /> : l, 1901. 22iid Stre.et
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<br /> No. TYPE OF FIXTURE OR ITEM FEE
<br /> ' . CITY . TELEPHONE NUMBER . Water Closet , , $
<br /> Anacortes WA 98221 293-5811 Bathtub '
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<br /> ; . NAME ., ."- Lavatory
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<br /> ' t - Shower
<br /> i' ADDRESS
<br /> :, Kitchen Sink
<br /> 0 . Dishwasher
<br /> ..., CITY TELEPHONE NUMBER Laundry Tray
<br /> i Clothes Washer
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<br /> . . NAME ' Water Heater .'
<br /> baryon Heat in
<br /> ' Urinal .. .
<br /> : 8 ApD.Ryp, Box, 1 1 is .. . Drinking Fountain ...
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<br /> Floor Sink or Drain
<br /> CLTYll[agitate, WA 98227TAW'at NE NUMBER Slop Sink
<br /> be
<br /> a Water Piping
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<br /> : siEkii&fiti,DIPPER CIII;TENSE NUMBER , _,
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<br /> D Residential D Non-Residential -; PERMIT $
<br /> ID New 0 Add El Alter aiRepair TOTAL FEE $
<br /> ,'. 0 Building 0 Plumbing o,Mechanical ' MECHANICAL
<br /> . . D Sign D Demolition LI Other L D GAS .0 OIL 0 ELECT. 0 OTHER
<br /> - . Legal Description of Property or Tax Account Wither
<br /> No. TYPE OF EQUIPMENT FEE
<br /> LotI3798 BIM 0 5 5 06104 ..
<br /> Air Cond. Unit -. $
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<br /> Refrigeration Unit— . HP
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<br /> . ' Boiler— - ..
<br /> ' HP
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<br /> Forced Air System— BTU/KW
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<br /> DesslOWV§Eks piping & fireplace Floor Furnace
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<br /> Wall Heater
<br /> Unit Heater ,
<br /> . . Clothes Dryer
<br /> OccUpancy Use' .. Ventilation Fan
<br /> '. D Single Family Residence aMulti-Family Residence . Range Hood'
<br /> 0 Office 0 Retail 0 Storage D Church Air Handling Unit— .' CFM
<br /> : -.. 17 Restaurant 0 Other "I Pre-manufactured Stove or Fireplace 3 . 00
<br /> NOTICE
<br /> I Gas LiPipliig r 1 a c e 'J. 00
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<br /> . : This permit is issued by the Building Official and,under the provisions .. . :./0
<br /> of the Uniform Building Code,shall expire by limitation and become null 1
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<br /> , -and void if the building or work authorized by such permit is not com- : PERMIT $ ati . 00
<br /> menced within 180 days fromI the date of permit issuance,or if the building • TOTAL'FEE $
<br /> or work authorized-by such permit is suspended or abandoned at any time I; ,
<br /> after the work is commenced for a period of 180 days: TOTAL FEES . VALUATION
<br /> By affixing my signature,,I hereby certify that I am.the owner of the . $ i)4 le
<br /> property for which this permit is issued or am an authorized represen- 'Building
<br /> "Check
<br /> Plan
<br /> tative of the owner. .
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<br /> Plumbing ..
<br /> All provisions of laws and ordinances governing thiity,pe of work will
<br /> r,be complied with whether specified herein or not, including routine calls Mechanical ..
<br /> ,: for inspections. Sign '.;
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<br /> Demolition
<br /> . . . Energy Surcharge
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<br /> Signature of Owner or Authorized Agent (Date) State Surcharge ,
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<br /> .Other
<br /> Street Setback Side Yard Setback Rear Tad Setback
<br /> -, TOTAL $
<br /> Conditions: .
<br /> Use Zone Occupancy Group Type of coast.
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<br /> - Tot Area -Vacant Site Dwelling Units ,
<br /> . , . ID Yes 0 No 7 '
<br /> • Frre Spnnklers Required No. of Stories Bedrooms Occupant Load
<br /> 0 Yes 0 No
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<br /> Size of Bldg. Plans Checked By: .,
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<br /> WHEN SIGNED AND DATED BELOW,THIS IS YOUR PERMIT
<br /> .Permission is hereby given to do the above desaibed work according to the conditions
<br /> . hereon and according to the approved plans and specifications pertaimng tpfftp,!Oita to -
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<br /> Z I compliance with the ordinances of the CITY OF ANACORTES. ‘!Z of / il.1-
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<br /> ..Permit Issued By Edwin Frank •
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<br /> I : Building Official ( le)
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<br /> PERMIT Ne! 8532
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