HomeMy WebLinkAboutPermit File 1520 10th Street 0921604-1 0002 08/04/2009 002 4
Y Permit Fees 008409 $61.00
C1. Q,�y,, City of Anacortes Permit#: BLD-2009-0274
904 6th Street Issue date: 08/04/2009
imiliemarP.O.Box 547 Expire date: 01/31/2011
cV"` _.' Anacortes, WA 98221-0547
Job Address: 1520 10TH ST Permit Type: Reroof Single Family Residence
ANACORTES WA 98221-1926 Project:
APN: P55839
Remarks: Tear off and reroof with composition roofing,
Owner: FARMER DANIEL H Contractor: SKAGIT ROOFING
Address: PO BOX 373 Address: 9672 FARM TO MARKET RD
ANACORTES WA 98221-0373 BOW WA 98232-7223
Phone: Phone: (360)428-1900
License#: SKAGIRL949QP
General Information: Fees:
Building Valuation 5650 State Building Code Fee 4.50
Building Permit Fee 56.50
Total Calculated: 61.00
Deposits/Receipts: 0.00
Total Due: 61.00
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL
PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR
NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER
STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
z SSd c-ArA- k/LA - 1a.e
ATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
FOR.INSPECTIONS CALL: OlD? OF ANACORTES PERMIT
2931901 BUILDING PERMIT
24 Hrs. Notice Requested . Site Address 1520 10th Street
;` NAME(OR NAME OF BUSINESS) SING
Dan Farmer
MAILING ADDRESS No. TYPE OF FIXTURE OR'ITEM FEE
„ ' - 1520 10th Street
CITY TELEPHONE NUMBER Water Closet $
Anacortee. WA 9822i Bathtub
i NAME Lavatory
Shower
' i ADDRESS Kitchen Sink
Dishwasher
CITY TELEPHONE NUMBER Laundry Tray
Clothes Washer
• NAME Water Heater
m Anecortea Refrigeration Urinal
• ADDRESS Drinking Fountain
Box 1227 Floor Sink or Drain
CITY TELEPHONE NUMBER Slop Sink
0 Anacortea. WA 98221 293-3339 Water Piping
STATE LICENSE NUMBER CITY LICENSE NUMBER
ANACOR*16900 4102
[}(Residential 0 Non-Residential PERMIT $
❑ New ❑ Add ❑Alter U Repair TOTAL,FEE $
0 Building 0 Plumbing Ql(Mechanical MECHANICAL
❑Sign ❑ Demolition [TOther a GAS D 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
I Forced Air System— BTU/KW 9.00
Describe Work Floor Furnace
Gas Furnace _ Wall Heater
Unit Heater
Clothes Dryer -
Occupancy Use - Ventilation Fan
Obr ingle Family Residence 0 Multi-Family Residence Range Hood
O Office 0 Retail 0 Storage 0 Church Air Handling Unit— CFM
O Restaurant 0 Other Pre-manufactured Stove or Fireplace
NOTICE
I Gas Piping 3.00
This permit is issued by the Building Official and,under the provisions
of the Uniform Building Code,Shill expire by limitatithi-and become null
and void if the building or work authorized by such iamb is not con- I PERMIT $ 15.00
' menced within 180 days from the date of permit issuance,-or if the building TOTAL e'FEE $ 27 .00
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 VALUA'ITON 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. Plan Check •
0.00
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 27.00
for inspections. Sign
n ,- y`n//'!� (t Demolition
i6.t.relr ` f l ,t f Pt.tr) Energy Surcharge
Signature of owner or Auerorind Apse (t ee) State Surcharge
,2 Saes Setback Side void Setback Rear Yed.Setkek Other III TOTAL $ 27 .00
' Use Zone Occupancy GroupType el Cones. —._ Conditions:
IAN Mn Vacant Site Dwelling Units
❑yes ❑No
. Fire Sprinklers Required No. of Stories Bedrooms Occupant'Load
❑Yes ❑No
Size of Bldg. Plans Checked By:
WHEN SLNBD AND DATED EFJ.OW,T®IS YOcii muter
,
I tfedefae iihaninivee to do the*lave deenthed work aosnOrg to the ecudlUane
bane aid'laeontng;,to the approved plane add TxlBethea ped(dag theta,subject to
mmpaaoee with the adinoea of the CITY OF ANACORTES.
09/26/91
Permit Issued By C`E,..,iCin it IA i•-YC.rC A. _
Sudang Official (Dam) NI 9141,
'j Edwin Frank
PERMIT
Address /fl['O /j0 d
Legal Description /cpr5 1/9l /a eek 13A OXIC
Assessors Account No. 377z- /36 - D/Z- -aoo/
Permit No. Date Description Date Finaled
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