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BLD-1991-8995 - RE-ROOF RESIDENTIAL
FOR INSPECTIONS CALL: CITY OF ANACORTES PERMIT- _M-1901 BUILDING PERMIT �4 H6. Notice�Requested Site Address 1018 4'th it ' RN'AME(OR NiYME OF'HUSINESSj '- ' � JC3hf1 �L4S,�i PLUMBING a mmiNcii ADDRESS' TEM NNo. TYPE OF FUTURE OR I FEE I� CITY TELEPHONE NUMBER Water Closet , $ #f18•Cktij"C08. ra 98 23 2 3704=40 Ba'ttitub NAME Lavato Shower iADDRESS Kitchen Sink Dishwasher CITY TELEPHONE NUMBER11 Lau'nd Tray ., ClMhes Washer N,�A`ME Water Heater :,�`ddrgar - Urinal. IAvDDRESS.' DNking Fountain F]Wr Sink or Drain CITY TELEPHONE NUMBER sib .Sink �O o. I i � : Water Piping INSTATE LICENSE NUMBER CITY LICENSE NUMBER E J©lYte'sidenR'al ❑ Non-Residential - PERMIT' , $ Q�New "❑ Add -. El Alter p3Re it TOTAL;PEE $ O wilding ❑ Plumbing ❑I Mechanical MECHANICAL I ' n I❑ISt m- ❑ Demohtmn ❑ Other ❑ GAS El OIL ❑ ELECf. ❑OTHER B°ggal Description of Property or Thx Account Number No. TYPE OF EQUIPMENT FEE y �Lolit Block of 4 3 ��fi1t�t O 1 d ^4sLlra Air Cond. Unit $ '� F ill Re i frigeration gnit— HP Boiler- HP Forced Air System— BTU/KW "escribe Work Floor Furnace Wall Heater �tC U it Uitit Heater �.,. Clothes,Dryer l ccupancy se Ventilation Fan MIiBgle Family Residence El Multi-Family Residence- Range Hood ti f � ❑ El��' Retail Storage Church Air HandlingUnit— CFM ®Restaurant ❑ Other Prjp-manufactured Stove or Fireplace NOTICE - Gas Piping - oftus permit isissued by the Building Official and under the provisions e�It7mform Budding Code shall expae by hmitahon and become null a lid if the Wilding or workta�fhorized by such permit is noncom- PERMIT $ n died witiiiri 180 days from the date of pertnrt issuance,!or if the building TOTAL FEE $ �.In e k authorized by such permit rs suspended or abandoned at any time a . �V a � ''IIe work is commenced for a period of 180 days. TOTAL FEES Vi1LUATION - FEE iBf kffixing signature; I here issued or am an authorised represen- by certify that I am the owner of the p o hi permit is Building30 I ,SOO OOL $ .s00 . ,. ro r ty for which thus ' Ii. tali 1 of the owner Plan Check 0„Gii provisions.of laws and ord atices-governing thi&type of work will Plumbing bell cl2 iplied with whether s f eed,herein or not,including routine calls Mechanical su Sign peg fdS�nispeclmns. 1 l - Demolition - `.{ i, Utz —.fir { Energy Surchas e �'A g�tiin. ;oar or AuNorusd Agent (Daa) State Surcharge .]' ..X.J`{} Other Strzi Se ck Side YaN SeWack Rear Ysid Seiback TOTAL $ 34.50 'Use�Zon'a' Ocaupanry Gmup Type Or Conat.. . COndt[IOOSS. Lot Areal Yawn Sim DwellingUnits •t ❑Yes ❑No Fire iSpriNdets Required No.of Scones Bedrooms Occupant Load _ ❑Yes :� ❑No Sim r'BWg.: Plans Checked By: j.. d j� WBEPI asp DIED DA7�ED B_k;A ;THIS S YOt*PERl�1♦IIT Per aswtx by given W `.the aboveldmaxib d work a„ecadsog to the amttitiom herdonlend' U the■ ' plane,ud apea¢mfldts'pe�tjating therto,apbject to mmphasice with" 'ardioaocee?� C1TY&F ANACOBTES. /02/ f Permit IssuedEdwin Prah� ,B PERMIT