HomeMy WebLinkAboutPermit File 1912 12th Street .. n n ;r..,,p -_ .d ,4�3#,.. .y Ftn: ci,u,.'t>-Cx,r:t 5.r` .,vS H'M :., ,. f`5: ..,z<•. ,'
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'.CITY OF ANACORTES PERMIT y�- '�r , '[
293-1901 BUILDING PERMIT
1912 l..'lii `.;f,i"cM
i 24 Hrs. Notice Requested Site Address
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,jN{AME 49 1N MM4JIPF ptUSINESS) PLUMBING
- z (I ILII G'A> D1 ES -''=L No. TYPE OF FIXTURE OR"ITEM FEE
d O
CITY„ 9 !..TELEPHON NUMBER -Water Closet $
itt.�r,.t.�tt.c.a.3, Wt1 E;.k,.','�'.l r..,—..,�.r-4Ff.
ilk; - Bathtub
NAME Lavatory
-d,j. b - I Shower ADDRESS :Kitchen Sink
u Dishwasher
CITY TELEPHONE NUMBER ;'Laundry Tray
'':'.' Clothes Washer
. ..Np4MA Construction 'Water Heater - .
Urinal •
5 ADDRESSS Drinking Fountain
''•• O. O.. 3476
1 Floor Sink or Drain
CITY TELEP1HON NUMBER _-_ W Slopater SinkPiping
1r I t i.s,)tort, WA 98�'2I t.;ses.. 4?::r
STATE LICENSE NUMBER CI,T LICENSEa NUMBER
i' C
MOt1ttri,'6F:e 7 .'l.r
L] Residehtial 0 Non-Residential • PERMIT $
❑ New ❑Add Li Alter -❑Repair TOTAL FEE $
' 0 Building 0 Plumbing C]Mechanical MECHANICAL
i, 0 Sign 0 Demolition b Other 0 GAS 0 OIL ❑ ELECT. ❑';OTHER
Legal Descrijtion of Property or Tax Account Number ° '
No. TYPE OF EQUIPMENT FEE
• Lot B]qck of •
.. ltih*"ni4t}l .. r ' 1J ' Air Cond. Unit $
Refrigeration Unit— HP
• As Boiler— HP
Forced Air System— BTU/KW
Describe Work . Floor Furnace
gees I';ti P 1 nt.tl and Wail I-water. £ Wall Heatett'buy') .'.Vs.t
• Unit Heater
Clothes Dryer .
Occupancy Use Ventilation Fan _a
n Single Family Residence 0 Multi-Family Residence Range Hood ,
❑ Office 0 Retail 0 Storage 0 Church Air Handling Unit— CFM
❑ Restaurant 0 Other Pre-manufactured Stove or Fireplace
{9 NOTICE .t Gas Piping a-tn.,
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 con- PERMIT $ I t, , JO
menced within 180 days from the date of perniit issuance,or if the building TOTAL FEE $ „^/ .00
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or work authorized by such perniit is Suspended,or.abandoned at any time
after,the work is commenced for a'period of!180'days. TOTAL FEES VALUATION FEE
ei By affixing my signature, I hereby certify that I am the owner of the
property for which this permit is issued or am an authorized represen- B°ildmg $
tative of the miner.
Plan Check - r,t •00
Plumbing
All provisions of laws and ordinances governing this type of work will _Mechanical ' ' tyi.:"
y be complied with whether specified herein or not,including routine calls
for inspea4ons. - . Sign
Vii `_f- ,//"" Demolition
'- :y . J t/!. �.r�F s : .,.,=e.e f-+ .• ,2 G -'•{^�� Energy Surcharge
` Signature of Ownei'or Au oriied Agent (Date) State Surcharge
Street Setback (" ..` Side Yard Setback Rear Yard Setback Other .
, TOTAL $ a'.i .dY()
-
Use Zone Occupancy Group Type of Const. Conditions:
Lot Area Vacant Site Duelling Units
•. .❑Yes ❑No
Fire Sprinklers Required No.of Stories Bedrooms Occupant Load
`ik El yes •D No
.. Size of Bldg. Plans Checked By: .
r
WHEN SIGNED AND DATED BELOW,THIS IS YOUR WOW Permission is is hereby gweu.to do Lice above deathbed werk'aceording to the conditions - .
hereon and according to-the'appioved'iplans and epedficatimspertaining tberto•subject tot.
compliance with'the-oidinaoces of the-CITY OF A'NACORTES..) ,1 .n- j /
I f J. i�411 i
ri Permit Issued By �a .fAltj,g t
'a: t cjtattr Fl +.tik
PERMIT ,r fi ,