HomeMy WebLinkAboutBLD-1992-9609 - DECONSTRUCTION & DEMOLITION FOR INSPECTIONS CALL: CITY OF ANAC ORTE$ PERMIT 9609
2n1901 BUILDING PERMIT
24 Hrs. Notice Requested Site Address I Fs 9::= _.I k.la =Lr ee.t.
NAME (OR NAME OF BUSINESS)
Si 71 Itt d.lattf 1 PLUMBING
MAILING ADDRESS
1511 O <., t L,i rN l,.r 1 No. TYPE OF FIXTURE OR ITEM FEE
CITY TELEPHONE NUMBER_ Water Closet $
,d031LY :P:xi"'[c.rr, WA i't'tI , 4 6)95 Bathtub -
NAME Lavatory
Shower
ADDRESS I Kitchen Sink
u Dishwasher
°. ..CITY TELEPHONE NUMBER Laundry Tray
.Clothes Washer -
NAME Water Heater
Urinal
cc ',ADDRESS Drinking Fountain
Floor Sink or Drain
!CITY TELEPHONE NUMBER Slop Sink
u Water Piping.
STATE LICENSE NUMBER CITY LICENSE NUMBER
:0 Residential El Non-Residential PERMIT $
l❑ New ❑Add ❑Alter ❑ Repair TOTAL FEE $
❑ Building ❑ Plumbing ❑ Mechanic I MECHANICAL
❑ Sin G Demolition ❑ Other ❑ GAS ❑ OIL ❑ ELECr. ❑ OTHER
(Legal Description of Propefty,Or-,Tax Account Number No. TYPE'OF EQUIPMENT FEE
Lot Block of .I
Air Cond. Unit $
Refrigeration Unit— HP
Boiler— HP
Forced Air System— BTU/KW
Describe Work Floor Furnace
l tr940I t t.i Orl - 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,under the provisions
of the Uniform Building Code,shall expire by limitation and becori%e 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 Building $
property for which this permit is issued or am an authorized represen-
tative of the owner. - I Plan Check i,r :.pros
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. Sin
- Demolition -
Energy Surcharge
Signature of Owner or Authorized Agent (Date) State Surcharge
Street Setback Side Yard Setback Rear Yard Setback Other
TOTAL $
Use zone Occupancy Gros of..Court. Conditions:
P Type
I:ot Am Vacant Site Dwelling Units
Net ❑No
Fite Sprinklers Required No. of Stories Bedrooms Occupant Load
❑Ya ❑No
Sin of Bldg. Plans Checked By: -
s
w=N sIGNED AND DATED BELOW,Tms Is YOU&PERMIT
Permissionishereby given to do the above described work,according to the conditions
Mean and aao adng;to the approved plane and spedfiatiare Pm'tabidurg therto,subject to
compliance with the art imooes of the CITY OF ANACORTES.
-
Permit Issued-B
Building Official '" (Date)
FdwiP1 Fri3lEi'
PERMIT 9609