HomeMy WebLinkAboutBLD-1992-9608 - DECONSTRUCTION & DEMOLITION FOR INSPECTIONS CALL: CITY OF ANACORTES PERMIT 0
293.1901 BUILDING PERMIT
24 Hrs. Notice Requested Site Address 1'"' 19 , t Ir
NAME (OR NAME OF BUSINESS)
a Bill Bet.$'rar€$k;` PLUMBING
MAILING ADDRESS
No. TYPE OF FIXTURE OR ITEM FEE
$p$ $ L?r.�t"s;Gy�, iLri� Idc,,.:t+
CITY TELEPHONE NUMBER Water Closet $
WA 90"221 Bathtub
NAME Lavatory
Shower - -
ADDRESS Kitchen Sink
x Dishwasher - -
':CITY TELEPHONE NUMBER Laundry Trd
Clothes Washer
-NAME Water Heater
Urinal
a
i ADDRESS Drinking Fountain
Floor Sink or Drain
CITY TELEPHONE NUMBER Slop Sink
�. .,. I Water Piping
STATE LICENSE NUMBER CITY LICENSE NUMBER
II❑ Residential ❑ Non-Residential PERMIT $
❑ New ❑Add ❑ Alter ❑ Repair TOTAL FEE $
11j0 Building ❑ Plumbing ❑ Mechanical MECHANICAL
❑ Sign O: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
Describe Work Floor Furnace
i
j Ua'.trlo$'i d, 1 ro1't Wall Heater
Unit Heater
Clothes Dryer -
_Occupancy Use Ventilation Fan
❑ Single Family Residence ❑ Multi-Family Residence Range Hood
O Office ❑ Retail ❑ Storage ❑ Church Air Handling 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]imitation and become null
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 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
property fnrwhich this permit is issued or am an authorized represen-
tative Building $
-of the owner. Plan Check Go
All provisions of laws and ordinances governing this type of work will Mechan
ical
cal
be complied with whether specified herein or not, including routine calls Mechani
for inspections. Signg
Demolition
EnergySurcharge
Signature of Ownar or Authorised Agent (Dare) State Surcharge -
Street Setback Sde'Ywd Setback Rear Yard Setback 'Other
TOTAL $
` Use Zone Occupancy Group Type of Const. Conditions:
Lox Am Vacant Sim Dwelling.Units
❑Yes ❑No.
Fire Sprinklers Required No.of Stories Bedrooms Occupant Load
I. ❑Yes ❑No
Size of Bldg. Plans Checked By:
WHEN'.SIGNED ANDMATED BELOW,THE 19 YOUR PERM T
Pertaissiort isliereby given to do the above described work,sanding to the conditions .
besom and—*ng to the approved pla is and speu6mtlooe pertaining tla rto,subject to
easapheace with the ordinances of the CrrY OF ANACORTES.
Permit Issued By
Budding Official (Date) _
Edwin fraitt"
PERMIT 9608