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Permit File 1111 26th Street
o .G%'t Y oil City of Anac I'teS Perm#: BLD-2002-8093 904 6th Street Issue date: 09/10/2002 .. P.O.Box 547 CO Anacortes, WA 98221-0547 Expire date: 11/09/2002 cC, ii,, (360)293-1901 Job Address: 1111 26TH ST ANACORTES WA 98221 APN: Permit Type: Demolition Permit Project: Remarks: demo Applicant: ISLAND HOSPITAL ISLAND HOSPITAL Owner: ISLAND HOSPITAL Address: Address: Phone: Phone: Contractor: Addressr: Phone: License#: General Information: Fees: Total Calculated: Adjustments: Deposits/Receipts: Total Due: THIS APPLICATION IS RECEIVED BY THE BUILDING OFFICIAL UNDER THE PROVISIONS OF THE UNIFORM BUILDING CODE, AND SHALL EXPIRE BY LIMITATION AND BECOME NULL AND VOID IF PERMIT IS NOT OBTAINED WITHIN 180 DAYS OF THIS APPLICATION. BY AFFIXING MY SIGNATURE I HEREBY CERTIFY THAT I AM THE LEGAL OWNER OF THE PROPERTY FOR WHICH THIS APPLICATION IS ISSUED OR AN AUTHORIZED AGENT OF THE OWNER.ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT,INCLUDING CALLS FOR INSPECTIONS. // Applicant Signature Issued b PAGE 1 OF 1 Li,» ,.<�.»:.:.,.,.. <. . . ., ,..,E'ER _API `IQ : = :; �; ::_,:>: SiteAddress: 1111 26th St. , Anacortes Date: 8/9/02 Assessors Account No.: 31872 Lot(s): Block: Addition: Owners Name: Hospital Contractors Name: T&T Recovery Inc. Address: 1211 24th St. , Anacortes AddreSS:413B 19th PMB 306 , Lynden • State: WA Zip: 98221 State: WA Zip: 98264 Phone: 360-299-1349 Contractors License:TTRECI`030L3 Phone: 360-671-0722 Have Utilities Been Notified? Describe Work & Tools To Be Used. How Will Materials Be Disposed? Water Dept.: el No To be hauled and disposed of by Electric: Mt No the contractor. Cable: Yes No Gas: Yes No • Phone: Yes No BARRICADES TO BE PROVIDED FOR PUBLIC PROTECTION,AREA MUST BE ROPED OFF SEE SECTION 4409 U. (Applicant's or Agent's Signature} ASBESTOS WARNING Breathing asbestos is hazardous to your health. Before starting a renovation or demolition project, survey for friable asbestos materials. Notify Northwest Air Pollution Authority prior to asbestos removal or containment. 201 Pioneer Bldg.,Mt.Vernon,WA 98273. ( 60)428-1617 Fire Department Appro — Date: $..)-5'-oh (Fire Chief or Fi hal) Police Dept. Notification: Date: Public Works Dept: /el ✓fti-? Date: / 3 -Cr 2. (Speed Garrett) �� Comments:RAN/ .Y t.V e1Z S7-L4 GU1' 2 (,fe ?M. ,* f AUG 3 0 2802 BUILI.11PUUa ULP I • PI-#ILLIPS ENVIRONMENTAL S�'RVICES • 2D354 SAcus RD. • SEDRO Woot.LEt,WA 98284 360-8S447900 FAX 3604354.7731 ASBESTOS 13ULKSAM'PLE ANALYSIS Client Narnc: TACT Recovery,Inc. 4t3$1901 PM 306 Codc;P4 Lynden,WA 98244 ©O l 960-67740�677-0722 LJ Y 360.671-3112 Fee yr Attention: Trot Lautenbsch • ;1. Source of Samples: No Information Provided Date Reed; &-12.02 11 • Analytical Method- Polarized Liehl Microscopy with Dispersion Staining(PLM-DS Method) i Sample No_ 1 Anntysis=, Ashestoa; None detected Lob No.: 15175B - Lncsuon: No Into. Other filrcrsr Cellulose,Synthetic Description: Grey&brown vinyl sheet m/grey fibrous backing rm leveling compound and black felt • • • • Analyst-. _ ., .,bate . $-15-0Z—; Dave B.Phillips Sarnples retained for 2 weenies unless otficrwltc requested in writing- Leh resuht arc complerefreonfiatmligf. Written penntssian is regUired ro release Pena*rn anvrb Er parry - • Zoo/ZOolgj AIID 4-.4- DNIHHHNIDNH HI bhCT 66Z 09C rid CZ:9T NON ZO0Z/60/60 Phone(36D)299-1330 Pak(300)299-1344 ' Island Hospital 1211 24t)' Street Anacortes, WA 98221 FaX To: j ACM 4as. From: Far Pages: Phone: }� ( . Rain: q- I _ Q2L Re: ft cSos L ❑ Urgent ❑ For Review 0 Please Comment ❑ Please Reply ❑ Please Recycle •Comments: Z00/T001A XIIO 9tSIIi33MIDNH HI 174£I 66Z 09£ XPd £Z:9T NON ZOOZ/60/60 BUILDING PERMIT CITY OF ANACORTES PERMIT NO. : BLD98-0044 P.O. BOX 547 APPLIED: 02/19/98 ANACORTES, WA 98221 ISSUED: 02/26/98 (206) 293-1901 EXPIRES: 02/26/99 i SITE ADDRESS: 1111 26TH ASSESSOR'S PARCEL NO. : 1111 PROJECT DESCRIPTION: Add 14x16 Deck at back of house — OWNER — CONTRACTOR — LENDER ISLAND HOSPITAL 1211 24TH STREET ANACORTES WA 98221 299-1301 TYPE OF WORK *ADD AREA (sf) VALU. . . $: 1000 TYPE OF USE •') LOT • 0 REQUIRED SETBACKS---- CENSUS CATEGORY •999 1ST FLR • 0 FRONT 0 ft ZONING 2ND FLR • 0 SIDE • 0 ft :R4 BASEMENT • 0 REAR • 0 ft OCCUPANCY GROUP GAR/CARPORT. . . : 0 REQUIRED PARKING-- : ? :7 :? : ? OTHER 0 TOTAL • 0 TYPE OF CONSTRUCTION HANDICAPPED: 0 :5N :7 : 7 :? NUMBER OF UNITS • 0 COMPACT • 0 OCCUPANT LOAD STORIES • 0 IMPRV SURF. : 0 sf . 0: 0: 0: 0: BUILDING HEIGHT. : 0 ft — FEES — NOTES I Code Amount---- By- Date---- Receipt PRMT $ 25. 00 MD 02/26/98 8058 STBC $ 4.50 MD 02/26/98 8058 I TOTAL $ 29.50 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 regulating activities covered by this permit. _ a a_4_ Issued y A licant or wne s Signature 24 Hour Notice Required For All Inspections bld_prmt, Rev: 06/11/92 BUILDING PERMIT CITY OF ANACORTES PERMIT NO. : BLD95-0044 P.O. BOX 547 APPLIED: 02/21/95 ANACORTES, WA 98221 ISSUED: 02/21/95 (206) 293-1901 EXPIRES: 02/21/96 SITE ADDRESS: 1111 26TH ASSESSOR' S PARCEL NO. : 1111 PROJECT DESCRIPTION: Reroof over with torchdown roofing — OWNER — CONTRACTOR — LENDER ISLAND HOSPITAL ESARY ROOFING & SIDING 1211 24TH STREET 420 PEASE ROAD ANACORTES WA 98221 BURLINGTON WA 98233 299-1330 757-0933 ESARY*RS175KE TYPE OF WORK *ADD AREA (sf) VALU. . . $: 3990 TYPE OF USE 'PUB LOT • 0 REQUIRED SETBACKS---- CENSUS CATEGORY • ''' 1ST FLR • 0 FRONT • 0 ft ZONING 2ND FLR • 0 SIDE • 0 ft :2 BASEMENT • 0 REAR • 0 ft OCCUPANCY GROUP GAR/CARPORT. . . : 0 REQUIRED PARKING-- :? : 2 : 2 :2 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 $ 63. 00 MD 02/21/95 3510 STBC $ 4.50 MD 02/21/95 3510 TOTAL $ 67.50 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 regulating activities covered by this permit. Issued by Applicant or Owner's Signature 24 Hour Notice Required For All Inspections bldprmt, Rev: 06/11/92