HomeMy WebLinkAboutBLD-1991-8710 - MECHANICAL AND GAS WATER HEATERS, RESIDENTIAL FOR INSPECTIONS CALL: CITY OF ANACORTES PERMIT8710
' 2sa-iso1 BUILDING PERMIT
24 Hrs. Notice Requested Site Address 1105
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S°tiAMEFt t�1JStFSt'i t, PLUMBING
R;IIGvDREr ft t No. TYPE OF FIXTURE OR ITEM FEE
Wydoal-tee, VIA 9822 TELEPHONE NUMBER Water Closet $ �
Bathtub
NAME Lavatory
Shower
ck� ADDRESS Kitchen Sink
' Dishwasher
CITY TELEPHONE NUMBER Laundry Tray
Clothes Washer
INAIYIE€51Limb in 9 Water Heater
Urinal
i`RIPIll rlin?t'; .Avenue Drinking Fountain
Floor Sink or Drain
LLTTy`' T EE NE_�.]UMBER Slo Sink
rC,drtHCa:J t"�F?-^=s {+tj,kr }3'i�t 3 Ai,SUE'S
p Water Piping
u STATE LICENSE NUMBER CITY LICENSE NUMBER
O Residential ❑ Non-Residential PERMIT $
❑New ❑ Add D�Alter ❑':Re it TOTAL:FEE $ .*.t
❑ Building ❑Plumbing Or Mechanical - MECHANICAL
❑ Sign ❑ Demolition ❑'Other ❑ GAS ❑ OIL ❑ ELECT. ❑ OTHER
Legal Description of Property or Tax Account Number - No. TYPE OF EQUIPMENT FEE
Lot - Block - of
Air Cond. Unit $ '
Refrigeration Unit— HP
Boiler— HP
Forced Air System— BTU/KW
PRUPI' or g water, heater Floor Furnace
Wall Heater
Unit.Heater -
Clothes Dryer
Occupancy Use Ventilation Fan
❑ Single Family Residence ❑ Multi Family Residence Range Hood:
O Office ❑ Retail ❑ Storage ❑ Church Air Handlin Unit— CFM
❑ Restaurant ❑ Other Pre-manufactured Stove or Fireplace
NOTICE Gas Pi in
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 186 days from the date of permit issuance,or if the building TOTAL'FEE $
or work authorized by 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 $
property for which this permit is issued or am an authorized represen- - ,
tative of the owner. 'Plan Check
' Plumbing "s
All provisions of laws and ordinances governing this,,type of work will Mechanical
be complied with whether specified herein ornot,including routine calls
for inspections. Sign
Demolition
','r"',Es"t, L!t✓>', .; `��-., ,�-s� E�..Gj /� �.Energy Surcharge
Signature of Owner or Authorized Agent tDam) State Surcharge -
,' --Str Setback gotten Setback Side Yazd-Setback Rear Yard Seeck TOTAL $
Use Zone Occupancy Group Type of,Const. Conditions:
Idf Area Vacant Site Dwelling Units
❑Yes ❑No
Fire Sprinklers Required No. of Stories Bedrooms Occupant Load
❑Yes ❑No
Size of Bldg. Plans Checked By:
WUN SIGNED AND DATED BELOW,TIM I8 YOUR PERMIT
Permismoss is hereby given to do the slave deam'bed work aoordiW to:the conditions
hereon and according to the approved plane and specifintloru pertaining therto,subject to
mmplianro with the ordijiaitees of the CITY OF ANACORTFS... ..
Permit Issued By
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PERMIT SI