HomeMy WebLinkAboutPermit File 1105 10th Street 0 0
FOR INSPECTIONS CALL: CITY OF ANACORTES PERMIT -04.1 $fl7
293-1901 BUILDING PERMIT
24 Hrs. Notice Requested Site Address 1105 10th Street
NAME(OR NAME OF BUSINESS) PLUMBING
Douglas 4 Susan Tibbles ,
MAILING ADDRESS 1105 10th Street No. TYPE OF FIXTURE OR ITEM FEE
CITY TELEPHONE NUMBER Water Closet $
Anacortes, WA 9822' Bathtub '
NAME Lavatory '
Shower
ADDRESS Kitchen Sink • ,
Dishwasher
CITY TELEPHONE NUMBER Laundry Tray
Clothes Washer
NAME Water Heater
Jorgensen Home Improvements Urinal
r ADDRESS Drinking Fountain
550 Mercer Suite 115 Floor Sink or Drain
CITY TELEPHONE NUMBER Slop Sink
' 0 Seattle, WA 98109 283-8200 Water Piping
STATE LICENSE NUMBER CITY LICENSE NUMBER .
JORQEH 1181 M9
I' ❑'Itesireie l i 0 Non-Residential PERMIT S
QTIeiv f Add ❑ Alter El Repair TOTAL FEE S
❑tuilding 7 Plumbing C] Mechanical MECHANICAL
❑ Sign ❑ Demolition 0 Other ❑ GAS ❑ OIL ❑ ELECT. ❑ OTHER
Legal Description okf Propertyl 'Ri
x x Account Number3-4 No. TYPE OF EQUIPMENT FEE
1.. Lur i g i na i tO nacortes Air Cond. Unit S
3772-058-004-0004 Refrigeration Unit— HP
Boiler— HP
Forced Air System— BTU/KW
Describe Work - Floor Furnace
New roof and vinyl siding Wall Heater
Unit Heater
Clothes Dryer '
i I1I Occupancy Use Ventilation Fan
L Single Family Residence ❑ Multi-Family Residence Range Hood
O Office ❑ Retail 0 Storage ❑Church Air Handling Unit— CFM
❑ Restaurant ❑Other Pre-manufactured Stove or Fireplace
NOTICE Gas Piping
1 - This permit is issued by the Building Official and,under the provisions
of the Uniform Building Code,shall expire by limitatiorf and become null
J and void if the building or work authorized by such permit is not com- PERMIT S
Merced within 180 days from the date of permit issuance,or if the building TOTAh FEE S
or work authorized by such permit is suspended or abandoned at any lime 4- A '
I i atter 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 18,000.UG $ 1 29.00
Property for which this permit is issued or am an authorized represen- 0.00
It�I'tive of the owner. Plan Check
All provisions of laws and ordinances governing this type of work will Plumbing
complied with whether specified herein or not,including routine calls Mechanical
r inspections. Sign
Demolition
Energy Surcharge
Signature of Owner or Authorized Agent ;(Date) State Surcharge 4.50
' stria SaMck S Ya ide rd aclr Rear YardY Setback Other ErrAt $ 133. 50
use zone occupancy Group Type of coast. Conditions:
' Lot Area Vacua Site Melling((nib
OYes ❑No
' Eke Sprinklers Required Na.of Stories Bedrooms.Occupat Load
' OYa ❑No
Size of Bldg. Plans Checked By;
WHEN SIGNED AND DATED ,THIS IS YOUR PERMIT
hereon
�armed above vomit to the sbjec to
- 4o�a pwtNdng tkerW subject W
sampan—with the ordinance's of the CITY Op'ANikCORTEB.
07/31/'J1
Permit Issued Byt a j g% d 2 JtJyy�,l ' n' „ ' S,......_ ,
liudtng oiFcia ' (Dale)
Edwin Franc
PERMIT $r $7