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<br /> FOR INSPECTIONS CALL: CITY OF ANACORTES :.
<br /> PERMIT -.,,.L,-„, 9685
<br /> 293-1901 BUILDING PERMIT
<br /> 24 Hrs. Notice Requested ,. Site Address i 9 I I 2 2Dti Street
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<br /> NAME (OR NAME OF BUSINESS) PLUMBING
<br /> -s. Joe isetilonde .
<br /> MAILING ADDRESS
<br /> , No. TYPE OF FIXTURE OR ITEM FEE
<br /> toll and Street -
<br /> • , CITY TELEPHONE NUMBER Water Closet $ ,.
<br /> Anscortes , WA 98221 ,t,'.93- 7447 - Bathtub .
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<br /> NAME Lavatory
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<br /> . Shower
<br /> ADDRESS - .
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<br /> KitchenSink
<br /> Dishwasher
<br /> et CITY TELEPHONE NUMBER Laundry Tray _
<br /> Clothes Washer
<br /> NAME .
<br /> Water Heater -
<br /> -' COmmereial Plumbing Urinal
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<br /> ADDRESS Drinking Fountain . _ .
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<br /> Commercial Avenue Floor Sink or Drain i
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<br /> CITY TELEPHONE NUMBER Slop Sink
<br /> " 0.-114i000rLOS, WA 911221 293-3774 Water Piping : •
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<br /> STATE LICENSE NUMBER CITY LICENSE NUMBER . .
<br /> -. CICOMEPI132MM , ,
<br /> - . i Dfltesidential 0 Non-Residential : ' PERMIT $ -
<br /> -- ' I OfNew El Add D Alter 0 Repair TOTAL,FEE $
<br /> - ' - ' I IlBuilding El Plumbing 0:Mechanical MECHANICAL
<br /> I "II,.
<br /> . .. i El isign D Demolition 0 Other 12 GAS D OIL 0 ELECT. 0 OTHER
<br /> ' ,Legal Description of Property,or Tax,Account:Nurriber.c E. L .
<br /> No. -... ' - L_ 'TYP -OF EQUIPMENT
<br /> Lot Block of
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<br /> Air Cond. Unit ' $
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<br /> . Refrigeration Unit- HP
<br /> Boiler- HP
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<br /> Forced Air System- . BTU/KW '
<br /> _ . Describe Work Floor Furnace
<br /> . . New gee dryer and pining Wail Heater.. , _
<br /> Unit Heater -
<br /> 1 Clothes Dryer ' cc 50
<br /> Occupancy Use Ventilation Fan
<br /> . 1 -
<br /> EicSingle Family Residence 0 Multi-Family Residence . Range Hood' ' 0 Office. 0 Retail O Storage 0 Church Air Handling Unit- - CFM
<br /> - , 0,Restaurant 0 Other Pre-manufactured Stove or Fireplace
<br /> NOTICE 'I Gas Piping 3 00
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<br /> , This permit is issued by the Building Official and,under the provisions
<br /> , . of the lUniforni Building Code,shall expire by limitation and become null _
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<br /> and wid if the building-or work authorized by such permit is not coin- .
<br /> PERMIT $ 15 .(JO . :
<br /> - ,--, meneed within IRO days from the date of pennit issuance,.or if the building - .
<br /> TOTALFEE $ 24 , 50 - . H,
<br /> .,. or work authorized by such permit is suspended or abandoned at any time I
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<br /> after the work is commenced for a period of 180 days. ! .
<br /> 'TOTAL FEES VALUATION FEE
<br /> ,-. - By affixing My-signature, I hereby certify that I am the owner of the $Building
<br /> . ,prOpe4Y for which this permit is issued or am an authorized represen- - .. .
<br /> Plan Check 0 ,00
<br /> tatise.of the owner.
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<br /> AlIpnweksiona of laws and ordinanc „governing this type of work will
<br /> Plumbing
<br /> Mechanical , 24 . 50
<br /> 'cbitplierfyith w ether specified rein or not,including routine calls -
<br /> inapectio .' Sign
<br /> . Demolition
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<br /> Energy Surcharge '.. ' —. ..
<br /> dig I r re a ov.4,e,ot Authorized gent (bate) State Surcharge - •.
<br /> Streei thack . -',' SidelYard Setback Rear Yand Setback Other ,
<br /> TOTAL $ 24 , 50 1
<br /> .. 1- - Use Zen Occupancy Group Type of Conn. Conditions:
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<br /> Lot Area I Vacant Site Dwelling:Units
<br /> Dyes D No . E
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<br /> Fire Sprinklers Req _uired No.of Stories Bedrooms Occupant Load ,
<br /> 0 Yes! 0 No '•
<br /> Size of 13151g, Plans Checked By:
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<br /> WHEN SIGNED AND DATED BELOW,THIS IS YOUR PERMIT . !
<br /> Parents'Om is hereby given to do the above deserited wak,aceSding to the conditions
<br /> - hereon'end seceding to the approved plena end specifications pertaining therto,subject to .
<br /> earnanide with the ordinances of the CITY OF ANACONIES. -
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<br /> Permitli Issued Hy I : ..^' 1-,, d jj j? rt t-11,1( Q.--
<br /> . Builds, Official - - (Date) -
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<br /> Edwin FrenE
<br /> PERMIT ii: 9685
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