HomeMy WebLinkAboutPermit File 1515 12th Street _110/03/2006 002 8
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Permit Fees 005328 S3 .65
dift YOff. City of Anacortes Permit#: BLD-2006-0695
904 6th Street Issue date: 10/03/2006
P.O.Box 547
Expire date: 10/03/2007
y, Gj<, Anacortes, WA 98221-0547
�`'` + (360) 293-1901
Job Address: 1515 12TH ST Permit Type: Mechanical Permit
ANACORTES WA 98221-2110 Project:
APN: P58027
Remarks: Install gas stove
Owner: DALE ROCK Contractor: CRAFT STOVES INSTALLATIONS, IN
Address: 1515 12TH ST Address: 900 W DIVISION ST
ANACORTES WA 98221-21 1 0 MOUNT VERNON WA 98273-3226
Phone: (360)299-8027 Phone: (360)336-2532
License#:
General Information: Fees:
#of Other Mechanical Units 1 Mechanical Permit Fees 33.65 Total Calculated: 33.65
Deposits/Receipts: 0.00
Total Due: 33.65
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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 PROVI IONS OF ANY OTHER
STATE OR LOCAL LAW
/REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNAL OF OWNER OR AUTHORIZED AGENT IS ED BY
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PLUMBING AND.MEC$ANICALPERMIT APPLICATION 1
FOOIII 'THE'Ga YOF, ACORTES ,,t
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Site Address. /S15- /2-4 Parcel No.: p5B0").---7
Lou,l L4-/ 4- r/of4'LuLBlock: (a Addition: 3206—Oc%lo -0D2- oraoC-
Contact Person 1 Phone 336-;-c32
Owner Contractor I
N ant: _(\�)6}.(a_ (i- V_A.2c_rJ c-k- Name CnA.13c4ve- zy..rc-lnl(421-7bN 'iar, -- .
Madmv Address es(r !2K' Mailing Address q00 T 71a ri tril
( lo. /}.VaW¢rH----Slate. /rff_ Zip. 9902,21 City_[f&v.' Omar/ _ State d4-. Zip EZ''P"2._73__
Phone No y60—).g9-20 2:7 Phone No.. 36.3-33v-� ?
PLUMBING MECHANICAL
No.: Type of Fixture No.: Type of Fixture , 3-10
Water Closet 15 GPF Air Cond. Unit HP
Bathtub Refrigeration Unit HP
.Shone Cr 2 S GPM Boiler BTUiHP i
Dishwasher 2 5 GPM Forced Air System BTU
Lavatory 2 5 GPM Floor Furnace
Kitchen Sink 2 5 GPM Wall Heater
C lothes Washer Clothes Dryer rli
Urinal I 0 GPM Ventilation Fan
Drinking Fountain Range Hood
Floor Sink or Drain Prc-Manf Stove or Fireplace 1-
Water Piping / Gas€+rerraee 0.01n_ /0,GC i
Hose Bibs Gas Water Heater
Back Flow Prevention Device Gas Piping
Other(Descnbe) Other (Describe)
-rt1-D-1 133. f<C
ni ic, iPi'I It ATION is RECIv ED BY THE BUILDING DEPARTMENT UNDER THE PROVISIONS OF THE UNIFORM PLUMBING AND MECHANICAL CODES AND SHALL EXPIRE BY
I!Nil I ATION AND BECOME NUI L AND VOID IF PERMIT IS NOT OBTAINED WfMIN 180 DAYS OF THIS APPLICATION. BY AFFIXING MY SIGNATURE I HEREBY CERTIFY THAT i
AI Tiii I i i,Ai OWNER OF THE PROPERTY FOR WHICH THIS APPLICATION IS ISSUED OR AN AUTHORBZED AGENT OF THE OWNER. ALL PROVISIONS OF LAWS AND
oRMN ANC h GOV EKING IS ;PWORK PLETED WITH,WHETHER SPECIFlEO HEREINOR NOT,INCLUDING CALLS FOR INSPECTION.
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SIGNA FORE DATE 7o P Oil
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BUILDING PERMIT
CITY OF ANACORTES PERMIT NO. : BLD96-0193
P.O. BOX 547 APPLIED: 06/11/96
ANACORTES, WA 98221 ISSUED: 06/11/96
(206) 293-1901 EXPIRES: 06/11/97
SITE ADDRESS: 1515 12TH ST
ASSESSOR' S PARCEL NO. : 3806-006-002-0005
PROJECT DESCRIPTION: Apply composition over existing layer of
composition roofing.
— OWNER — CONTRACTOR — LENDER
RON THOMPSON
1515 12TH STREET ANACORTES WA 98221
293-6760
TYPE OF WORK •REP AREA (sf) VALU. . . $: 1000
TYPE OF USE *SF LOT • 0 REQUIRED SETBACKS----
CENSUS CATEGORY •555 1ST FLR • 0 FRONT 0 ft
ZONING 2ND FLR • 0 SIDE • 0 ft
:R3, RES MED BASEMENT • 0 REAR • 0 ft
OCCUPANCY GROUP GAR/CARPORT. . . : 0 REQUIRED PARKING--
:R3 :7 :? :7 OTHER • 0 TOTAL • 0
TYPE OF CONSTRUCTION HANDICAPPED: 0
:? :? : ? :? NUMBER OF UNITS • 0 COMPACT • 0
OCCUPANT LOAD STORIES • 0 IMPRV SURF. : 0 sf
0: 0: 0: 0: BUILDING HEIGHT. : 0 ft
— FEES — NOTES
Code Amount---- By- Date---- Receipt
PRMT $ 17. 50 EF 06/11/96 5501
STBC $ 4.50 EF 06/11/96 5501
TOTAL $ 22. 00
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I hereby acknowledge that I have read this permit and state that the above information is correct, and agree to comply with all
ordinances and laws r lating activities covered by this permit.
p
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Issue• ei App1'cant or Owner's Signature
24 Hour Notice Required For All Inspections
bldfirmt, Rev: 06/11/92
Address /57q /Z C-?4:
Legal DescriptionLai- / Ilorort Z Tj([c PP._ 414Jx2
Assessors Account No. 3?66—OOG - 662 -0o0S'
Permit No. Date Description Date Finaled
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5'122- 7-16 -7/ Webb sy-0A
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