HomeMy WebLinkAboutBLD-1992-9779 - RE-ROOF RESIDENTIAL fir►
FOR INSPECTIONS CALL: CITY OF ANACORTES PERMIT 9779
M1901 BUILDING PERMIT y
94 Hrs. Notice Requested Site Address 1 o2o t Avr�nue
NAME (OR NAME OF BUSINESS) PLUMBING
Karen
MAILING ADDRESS No. TYPE OF FIXTURE OR ITEM FEE
1012 tfitli Street
CITY TELEPHONE NUMBER Water Closet S
Anacar tes , WA 9E2:'1 : 93- 4'.: '': Bathtub
NAME Lavatory
Shower
ADDRESS Kitchen Sink
Dishwasher
t CITY TELEPHONE NUMBER Laundry Troy
Clothes Washer
NAME Water Heater
savage Foof my Urinal
ADDRESS Drinking Fountain
0'px•, 336 Floor Sink or Drain
CITY TELEPHONE NUMBER Slop Sink
nacorte s , WA 9132P1 1 Water Piping
STATE LICENSE NUMBER CITY LICENSE NUMBER
VAGRI114PO
-1$Residential ❑ Non-Residential PERMIT $
❑'New ❑ Add ❑ Alter ❑ Repair TOTAL FEE S
I8 Building ❑ Plumbing ❑ Mechanical MECHANICAL
❑ Sign ❑ Demolition ❑ Other ❑ GAS ❑ OIL ❑ ELECE ❑ OTHER
Legg Description of Properly or.Tax Account Number No. TYPE OY EQUIPMENT FEE
Lot - Block of
Air Cond. Unit $
Refrigeration Unit— HP
Boiler— HP
Forced Air System— BTU/KW
Describe Work Floor Furnace
Reroof Wall Heater
Unit Heater
Clothes Dryer
Occupancy. Use Ventilation Fan
M 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 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 S
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 .U '(- •(3f-' $ "
property for which this permit is issued or am an authorized represen-
tative of the owner. Plan Check
All provisions of laws and ordinances governing this type of work will MechaPlumbing
be complied with whether specified herein or not,including routine calls Mechanical
for inspections. Sign
Demolition
Energy Surcharge
aigntana of Owner or Audionwd Agent (D.K) State Surcharge 4 r
saes SaPoect side lhrd semaet Rat Yud Setback Other TOTAL $ _• . ,
Ur zone ompency Group Type of Conn. Conditions:
W Ara vi twc Sift Duening Units
❑Yes ❑No
Fim Sprinklers Requoed No.of Stories Badmans Occupant toad
❑Ya 0 No
Sim of BWg. PWts Checked By:
WREN SIGNED AND DATED WJDW,THIS Ill YOUR MRAIIT
Pwmiaim h hereby given to do the absw draped wak eaardng to the multiom
trern and aairding to the appwed phon and Wed/etien pafa ring dwrta wbjat to
ampBm with the udhaoeea Of tit CITY OF ANAO(WITS.
t�h! ' 1Ikt2
Permit Issued BY d ,,?y i
Budding Official (Daft)
Edwin Franco PERMIT " ` : 9779
1