HomeMy WebLinkAboutBLD-1991-9119 - FENCE FOR,INSFECTIONS CALL: CITY OF ANACORTES PERMIT
2PI901 " BUILDING PERMIT
24"Hrs. Notice Requested Site Address if U e 21a&.Ii Street.
NAME (OR NAME OF;,11 INESS) -
k0AOtlt"°G. 3 I'tViR1 B s'it ?;ontee PLUMB,IN
MAILING ADDRESS No. TYPE OF FIXTURE QR d�EM FEE
_• .
CITY TELEPHONE NUMBER Water Closet " $
Anactar'teoe, WA 98221 Bathtub
NAME Lavatory
r, Shower
ADDRESS Kitchen Sink'
u Dishwasher
< CITY TELEPHONE NUMBER Laundry Tray
Clothes Washer
NAME Water Heater'.
K Urinal
ADDRESS Drinking Fountain
Floor Sink or Drain
CITY TELEPHONE NUMBER Slop Sink
` 0 Water Piping. . -
STATE LICENSE NUMBER CITY LICENSE NUMBER
❑KResidential ❑ NGn-Residential - PERMIT $
.❑ New -❑..Add '-. ❑ Alter . . GI Repair TOTAL-,FEE $
04Building " ❑ Plumbing ❑.Mechanical MECHANICAL
❑ Sin ❑ Demolition O Other ❑ GAS ❑ OIL ❑ ELECT. ❑ OTHER
i Legal Description of Property,or Tax Account Nu'm6er `
NO. TYPE OF EQUIPMENT FEE
Lot Block of
Air"Cond. Unit $
Refrigeration Unit— HP
Boiler— HP
Forced Air System- BTU/KW
Describe Work Floor Furnace
Now Fencie Wall Heater
Unit Heater
_ Clothes Dryer
Occupancy.Use - Ventilation Fan
❑ Single Family Residence ❑ Multi-Family Residence Range Hood
❑ Office ❑ Retail ❑ Storage ❑ Church Air Handling Unit— CFM
❑ Restaurant:.. ❑ Other Pre-manufactured Stove or Fireplace
NOTICE " Gas Piping
This permit is issued by the Building Official and,udder the provisions
of the Uniform Building Code,shall expire by limitation:and become null Lf
and void if the building or.work authorized by such permit is not com PERMIT $
menced within 180 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
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:Yhe owner of the
property for which this permit is issued or am an auihorized represen -.Buildin $
tative of.the owner. -Plan Check Q,00
All provisions of laws and ordinances governing this,itge of work will I-Plumbing
be complied with whether specified herein or not, inclining routine calls Mechanical
for i9spections. -Si n
( .Demolition
VIAL *Ens Surcha e
namte_of owner or Authorized Agent :'(Date) --State Surcharge
assesses :Other Fence 10.00
Streff Setback Side Yard Setback Bear Yard Setback ,I,G,I, $ 1
Use Zone Occupancy Group Type of:Const COBdIt1011S:
Lot Area vacant Site DwnllmgUnits
❑Yu ❑No
'. Fire Sprinklers Required No. of Stories Bedrooms Occupant Load
❑Yes ❑No
Size of Bldg. Plans Checked By:
WHEN SIGNED AND.DATED BELOW.THIS IS YOUR PERWr ,..
Permiemon is hereby given to dothe,,above described work,sounding to the conditions
harem end acearding to the aPP!nrSd plane and aperi6®dmm pertainingtherto,subject to
compliance with the ordinances of the CITY.OF ANACOBTES.
r,r �9f1191
Permit Issued By
Budding Official (Date
Edwin Frank �
PERMIT