HomeMy WebLinkAboutBLD-1991-8729 - RE-ROOF RESIDENTIAL FOR INSPECTIONS CALL: CITY OF ANACORTES PERMIT $tE
872,9
293.1901 BUILDING PERMIT
24 Hrs. Notice Requested Site Address 1010 Z3rd
NAME (OR NAME OF BUSINESS) PLUMBING
Ckrec CPI stR
a
MtI "IL_ G pDDRBSS
!']d No. TYPE OF FIXTURE OR ITEM FEE
! „Gtrb t i'lar ttrt(;) i7t1
Y TELEPHONE NUMBER Water Closet $
CIT
r ac l-tea ; , WA 93 l ?1 -t3 3 i Bathtub
NAME Lavatory
Shower
ADDRESS Kitchen Sink
U Dishwasher
< CITY TELEPHONE NUMBER Laundry Tray
Clothes Washer
N ME Water Heater
Construct ion Urinal
S1 DRE-CS7 DrinkingFountain
I` 3r'd� Street, Floor Sink or Drain
CITY TELEPHONE NUMBER SlopSink -
z AreL(wtes, 'WA 93 t 293-0147
p Water Piping
STATE LICENSE NUMBER CITY LICENSE NUMBER
4586
d'Residential ❑ Non-Residential PERMIT $
❑ New 'Add ❑ Alter ETRe air TOTAL FEE $
Building ❑Plumbing El Mechanical MECHANICAL
❑ Sin ❑ Demolition ❑ Other ❑ GAS ❑ OIL ❑ ELECT. ❑ OTHER
Legal Description of Property or Tax Account Number
1 IS— 17 h No. TYPE OF EQUEPMENT FEE
Lti[ r:z.:T�/$lo k ;of Air Cond. Unit $
Refrigeration Unit— HP
Boiler— HP -
Forced Air System— BTU/KW
Describ Work Floor Furnace
teaplace much seal , some Joist, and Wall Heater
zntlb `a Re ur ° Unit Heater
Clothes Dryer
Occupancy Use Ventilation Fang
E'Single Family Residence ❑Multi-Family Residence Range Hood.
❑ Office ❑ Retail ❑ Storage ❑ Church Air Handling Unit— CFM li
❑ Restaurant ❑ Other Pre-manufactured Stove or Fireplace
NOTICE Gas Piping
This permit is issued by the Building Official and,under the provisions
of the Uniform'.Building Code,shall expire by limitation and become null
and void if the building or work authorized by such permit is not com- PERMIT $
menced within'd80 days from the date of permit issuance,or if the building TOTAL FEE
P
$
or workauthorizedby such Permit is suspended or abandoned at any time
after the work,is commenced for a period of 180 days. TOTAL FEES VALUATION FEE
By affixing my signature, I hereby certify that I am the owner of the Building ' .',"a , $ A'` VVV
property for which this permit is issued or am an authorized represen-
tative of the owner. Plan Check -
All provisions of laws and ordinances governing this type of work will Plumbing
be complied with whether specified herein or not,including routine calls Mechanical
for inspections. Sign
Demolition
Energy Surcharge
Signature of Owner or Autboriecd Agent (Dam) State Surcharge
Street Setback Side Yard Setback Rear Yard Setback Other -"
TOTAL $
Use Zone Occupancy Group Type of Const. Conditions:
Lot Area Vacant Sim Dwellings Units j
❑Yes ❑No
Fite Sprinklers Required No. of Stories Bedrooms Occupant Load -
❑Yes ❑No
Size of Bldg. Plans Checked By:
WHEN SIGNED AND DATED BELOW,THIS IS YOUR PERMIT
Permission is hereby given tondo the above:described work a000iding to the conditions
hereon and according to the approved plans and speeiBntions pertaining therto,subject to -
compliance with the ordinances of the CITY OF ANAotJRTES.
Permit Issued By ..,`% i'"it" ,...,,fr°, C�.�.-.,.._ -
Buddi Official (Dam)
Edw tn ' f"atiV..
PERMIT `: 1