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FOR INSPECTIONS CALL: CITY OF ANACORTES ' PERMIT s'„aft 8040 <br /> 293-1901 BUILDING .PERMIT , <br /> t 24 Hrs. Notice Requested Site Address 217 i-33rd S#;reel <br /> ;. 4 <br /> { Chinh R NAME (ORINAME OF BUSINESS) PLUMBING <br /> x <br /> w MAILING ADDRESS <br /> a 1] 2•.3:3 rd Street , No. TYPE OF FIXTURE OR ITEM FEE <br /> 0 <br /> CITY TELEPHONE NUMBER Water Closet $ <br /> AnacorLes, ,IAA 98221 293-4936 Bathtub <br /> NAME Lavatory <br /> t Shower <br /> ' ADDRESS Kitchen Sink <br /> Dishwasher <br /> a CITY TELEPHONE NUMBER Laundry Tray <br /> Clothes Washer <br /> NAME Water Heater <br /> Savage Roofing Inc. Urinal <br /> x <br /> ADDRESS Drinking Fountain <br /> 911--31st Street - Floor Sink or Drain <br /> r. CITY TELEPHONE NUMBER Slop Sink <br /> u Anacortes , WA 98221 293-2021 • Water Piping <br /> STATE LICENSE NUMBER CITY LICENSE NUMBER _ <br /> SAVACR.T 114 PO 4344 <br /> 0 Residential 0 Non-Residential i PERMIT $ <br /> ❑ New ❑ Add ❑ Alter 0.Repair TOTAL FEE $ <br /> El Building 0 Plumbing - -0 Mechanical MECHANICAL <br /> ❑ Sign 0 Demolition 0 Other ❑ GAS 0 OIL ❑ ELECT. ❑ OTHER <br /> Legal Description of Property or Tax Account Number <br /> No. TYPE OF EQUIPMENT FEE <br /> Lot Block of <br /> 420 7-O00-005-0008 Air Cond. Unit $ <br /> - Refrigeration Unit— HP 1 <br /> Boiler— r'. HP <br /> Forced Air System— BTU/KW <br /> Describe Work Floor Furnace <br /> Remove existing roofing and install Wall Heater <br /> 15# felt and composition shingles;. Unit Heater <br /> Clothes Dryer <br /> Occupancy Use Ventilation Fan <br /> C] Single Family Residence 0 Multi-Family Residence Range Hood <br /> 0 Office 0 Retail El Storage 0 Church Air Handling Unit— CFM <br /> 0 Restaurant 0 Other .- Pre-manufactured Stove or Fireplace <br /> ' NOTICE Gas Piping <br /> This permit is issued by the Building Official and,under'the provisions <br /> of the Uniform Building Code,shall expire by limitation and become null - - . <br /> and void if the building or work authorized by such permit is not com- ' PERMIT $ <br /> menced within 180 days from 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 <br /> after the work is commenced for a period of 180 days. TOTAL FEES VALUATION FEE <br /> By affixing my signature, I hereby certify that I am the owner of the Building <br /> • property for which this permit is issued or am an authorized represen- <br /> tative of the owner. Plan Check 0.00 <br /> All provisions of laws and ordinances governing this type of work will Plumbing <br /> be complied with whether specifiecylierein or not,including,routine calls Mechanical <br /> for inspections. r, -- - . _-''" Sign <br /> .Demolition <br /> ,r <br /> �. • . .- ./ , _..-�`� ' a 7" Kvu Energy Surcharge <br /> Signature of f O w r AuthfOed Agent (Date) State Surcharge 45 O <br /> Other <br /> Street Setback Side Yard Setback Rear Yard Setback • TOTAI. $ 43. Cr <br /> _ Use Zone .= Occupancy Group Type of Coast. Conditions: <br /> Lot Area Vacant Site Dwelling Units <br /> ❑Yes ❑No fp„ C <br /> . Fire Sprinklers Required No.of Stories Bedrooms Occupant Load <br />.< <br /> - ❑Yes ❑No _ <br /> ' Size of Bldg. Plans Checked By: <br /> • WHEN SIGNED AND-DATED BELOW,THIS IS YOUR PERMIT <br /> Permission is hereby given to do the above described work,according to the conditions <br /> hereon and according to the approved plans and specifications pertaining therto,subject to <br /> compliance with the ordinances of the CITY OF ANA RTES. <br /> C.;‹ <br /> Permit Issued — © 07/24/90 <br /> Buil ' Official (Date) <br /> Edwin Frank <br /> PERMIT =2 80 40 - <br />