HomeMy WebLinkAboutPermit File 1620 35th Place _ ,eeoen ��-RhY,,• a n �
, 110 DO.20 Od Q PAGE 1 OF 2
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.. SHORT PLAT NO: ANA-95-006 - '
- _ ii a II av/ -' DATE OF APPROVALS: 8'/.9-96
0-A N E R-"'4'S DECLARATION : _., ... FR: SURVEYOR' S CERTIFICATE:
"KNOW ALL MEN SY THESE PRESENT THAT WE THE UNDERSIGNED OWNER'S,HEREBY DECLARE THIS SHORT SUBDIVISION OF TRACT"D"OF"BURTNESS {Gd�' I, JOHN J. VADAI-PROFESSIONAL LAND SURVEYOR,HEREBY CERTIFY THAT THIS SHORT SUBDIVISION IS BASED
SHORT PLAT"-MADE WITH'OUR FREE CONSENT AND IN ACCORDANCE WITH OUR WISHES. UPON AN ACTUAL SURVEY MADE BY ME OR UNDER MY DIRECTION IN CONFORMANCE WITH THE REQUIREMENTS OF THE
- • •• CITY OF ANACORTES SHORT SUBDIVISION ORDINANCE N0. 1805,AND THAT THE COURSES AND DISTANCES ARE
RESTRICTIVE•AND PROTECTIVE.CONVENANTS WILL BE FILED WITH THIS SNORT SUBDIVISION. SHOWN CORRECTLY HEREON.
. u - - - - - DATED IN ANACORTES ON THIS 87W DAY OF AUC3U3 199 T. , 6
DEDICATION O F 3 4 T H"S T R E E T- AND 3 5 T H PLACE 29 II •�' - A �/
je
WE, THE UNDERSIGNED OWNER'S B'.REBY.DEDICATE THOSE PORTIONS OF"34TH STREET AND 35TH PLACE"LYING WITHIN THE BOUNDARIES OF THIS firF NO �� /
SHORT PLAT TO THE CITY OF ANACORTES,FOREVER-FOR--PUBLIC ACCESS'AND UTILITY PURPOSES,NOT INCONSISTENT WITH THE USE THEREOF FOR CERTEI EE NO.. 9 676
PUBLIC HIGHWAY PURPOSES. ALSO GRANTING THE RIGHT TO„HAKE ALL NECESSARY SLOPES FOR CUTS AND FILLS UPON IRE LOTS AS SHOWN ON APPROVAL S :
THIS"SURVEY MAP". ALSO THE RIGHT TO MAINTAIN AND DRAIN„THE STREETS OVER AND ACROSS AMY TRACT,WHERE WATER MIGHT TAKE A '
NATURAL COURSE. GRANTED HEREBY 1S A WAIVER OF`AL.�CL;IMS,ROE DAMAGES'AGAINST THE"CITY OF ANACORTES"WHICH MAY BE OCCASIONED THE WITHIN AND FOREGOING SHORT PLAT IS APPROVED IN ACCORDANCE WITH THE PROVISIONS OF THE CITY OF
TO THE ADJACENT LAND WITHIN THIS SHORT SUBDIVISION, WIDE ESTABLISHED'CONSTRUCTION,DRAINAGE AND MAINTENANCE OF SAID STREETS. ANACORTES SORRY SUBDIVISION ORDINANCE NO. 1805.
- _ -- ' DATED THIS M DAY OF Mikis r , 1996
DEDICATION OF TRACT "E" (DETENTION POND): --' -" --
�5 -, h fiI'w2, cv.8,,,,.-1.-
WE.THE UNDERSIGNED OWNER'S HEREBY DEDICATE TRACT"E"TO THEGITY OF'ANACORTBS FOREVER.FORBTORM DRAINAGE PURPOSES. ALSO THE. Jam. _
RIGHT TO MAINTAIN THE DETENTION POND. GRANTED HEREBY IS A WAIVER UF,`ALL CLAIMS FOR DAMAGES AGAINST THE"CITY OF ANACORTES" IAN MUNCE GORDON W.BRUCHNER
WHICH MAY BE OCCASIONED TO THE ADJACENT LAND WITHIN THIS SHORT SUBDIVISION. PLANNING DIRECTOR CITY ENGINEER
TREASURER ' S CERTIFICATE :
EASEMENT P R O V I S IONS : - --
- - 1) SKAGIT COUNTY:
A NON-SECLUSIVE EASEMENT IS HEREBY RESERVED POE,AND GRANTED TO: THE CITY OF'ANACOHYES1YUGET SOWN]`HOWER.AND LIGHT I HEREBY CERTIFY THAT ALL TARES HERETOFORE LEVIED AND HAVE BECOME A LIEN UPON THE LAND
WHICH COMPANY, GENERAL TELEPHONE COMPANY OF THE NORTHWEST, INC.,NATIONWIDE CABLEVISION, INC.,-AND,CASCADE NATURAL GAS CORP., DESCRIBEDAXI PAID FOR O LEVIEDGAN ACCORDINGWHITO THE RECORDS OF ON OFFICE DP
ETC y. AND THEIR RESPECTIVE SUCCESSORS AND ASSIGNS,UNDER AND UPON THE PUBLIC ROADS LOCATED HEREON THAT BEEN FULLY-INSIDE-OF THIS SHORT PLAT,AND TO AND INCLUDING THE YEAR 199//.THE EXTERIOR TEN(10)FEET PARALLEL AND ADJACENT TO THE STREET FRONTAGES OF 34TH STREET AND 35TH PLACE, IN WH2CH To-`
NSTALL,LAY, CONSTRUCT,RENEW,OPERATE AND MAINTAIN UNDERGROUND UTILITIES, CONDUITS, CABLED AND-WIRES WITH NECESSARY d
FACILITIES AND OTHER EQUIPMENT FOR THE PURPOSES OF SERVING THE SUBDIVISION AND OTHER PROPERTY WITH ELECTRIC,TELEPHONE, DATED THIS p1O EAT OF �14 , 199-6
AND T.V. CABLE SERVICES,GAS,ETC., WITH THE RIGHT TO ENTER UPON THE LOTS AT ALL TIMES FOR THE PURPOSES STATED. U
IN WITNESS WE HAVE SET OUR HANDS AND SEALS ON THIS ST/{ DAY OF A UGG.ST , 1996 Al,- BY:
KAG T COUNTY TT SAR DEPUTY TREASURER
�/ '2) CITY OF ANACORTES:
v40..r ' , 41 A w iR� _ I HEREBY CERTIFY THAT THERE ARE NO DELINQUENT SPECIAL ASSESSMENTS,AND THAT ALL SPECIAL
VERN L. BURTNESS MURIEL A. BURTNESS _ ASSESSMENTS ON ANY OF THE PROPERTY HEREIN CONTAINED AND DEDICATED AS STREETS,ALLEYS OR
HUSBAND WIFE -- - _FOR'OTHER PUBLIC USE,ARE PAID IN FULL.
DATED THIS /9' DAY OF , 1996
ACKNOWLEDGMENT : -
BEASD 'R, ITN OF ANACORTES
STATE OF : WASHINGTON) _
S.S. R E S T R I'C T I O N S :
COUNTY OF: SKAGIT )
RESTRLCTIVE'AND PROTECTIVE CONVENANTS COVERING ALL LOTS IN THIS SHORT PLAT ARE IN ACCORDANCE WITH
I CERTIFY THAT/I KNOW OR HAVE SATISFACTORY EVIDENCE THAT VERN L.6 MURIEL A.BURTNESS, HUSBAND AND WIFE,ARE THE PERSONS WHO THE DECLARATION OF PROTECTIVE CDNVENANTS,AS FILED IN VOLUME ,OF OFFICIAL RECORDS AT
APPEARED BEFORE NE,AND SAID PERSONS ACKNOWLEDGED THAT THEY SIGNED THIS INSTRUMENT AND ACKNOWLEDGED IT TO BE THEIR FREE AND PAGE(S) ,UNDER AUDITOR'S FILE NUMBER:, 4(0/>8 ,0 nlX)3 RECORDS OF SKAGIT
VOLUNTARY ACT FOR THE USES AND PURPOSES MENTIONED IN THE INSTRUMENT. COUNTY, WASHINGTON. _
DATED ON THIS 6.771 DAY OF AUGUST , 1996 A.D. "'- _
`` R E C O R D I N G C E R T,Z.,t-I C A TEE: _"-
'O�A``�•`��9p9`y♦ FILED FOR RECORD AT THE REQUEST OF-JOHN.1.-FADAP ON-THIS .2.0'DAY OF [W uv. 1996 AT
�j�`I".�'T.n FlL, MINUTES PAST 6"A-J AM)RECORDED'IN VOLUME /0'1_ QF-SHORT PLATS,AT'PACE(S)/°JL-/�3
GTr„1 NOTir BLIC IN OR THE STATE OF WASHINGTON UNDER AUDITOR'S FILE SUNDER: LD
i f N Y RESIn GAT: /9 CoRTES __9 gaD Onn Z RECORDS OF SKACIT COUNTY,WASHINGTON.
4T u�; PUBLIG _,.1 3 MY APPOINTMENT EXPIRES: 2-2-9$
�)9A'„?- mho PRINTED NAME: JOH/V ,i. VAOA/ ��c"��
SEA T COUNTY AUDITOR DEPU A ITOR •
SHORT PLAT OF TRACT "D" PERM MURIEL 2A BURTNESS (6 .29
PREPARED FOR: 1620 35TH PLACE.
0�,k i.1/4 ANACORTES,6203 LA.-98221' _ TEL: (360) 293-7519
0
'EO'� SCALE: N/A DRAWN BY: T1.R JOB-NO: A895-95'-
BURTNESS' SHORT PLAT AN-86-001 DATE: 9,2;96 LAPPRO„ED BY: — . DRAWING NO: - --
(VOLUME(VOLUME 7 OF SHORT PLATS AT PAGES 83-84 A.F.#8604300004) DESCRIPTION: SHORT FIAT
PART.OF SW1/4 OF THE NE1/4 OF SECTION 25,TWP.35N,RG. 1E.,W.M. 4ki ka1RTB"`1
CITY OF ANACORTES, SKAGIT COUNTY, WASHINGTON -"` JOHN J.„ADAT B ASSOCIATES MERIDIAN: N/A
Phone: (360) 293-9591 5809 SANDS WAY-SUITE F,Anacorree,Wn.
0-a-t-/.- 6741.4-C'a..7.0 / ./0
,�eaes .. 9Go?-2oa°a G�-'r OF 2 -
? ,." SHORT PLAT NO: ANA-95-006
DATE OF APPROVALS: B-/9-9€
"1(GONG,'MON.;} UMFLATTED
sl. ` _- - 29TU�8TR.
-- - - __ _ TOMEI H.TUTOR ��F
:.lm - (0-041-0018)
ZI I .I=
R NH9°39'L -N89°39'45"E-441.31 _ N89°79 "E R El8
297.N0_-, 110,00 97.31 84.00 R 80.00 '�- 70.00 �' NORTH LINE y Im
��` �y oe woo, l'
` o ---"" ASSESSOR'S ACCOUNT RUBBER: I tN
H (350125-0-065-0308) UNPLATTED''' ? "- � _ AS 41614 8A N1610 .(DETENTION N to z� '-lr
Az„ _ - _ _ SA#1606 POND)Q u a� - mJOSEPH KASCH ED m
25 • - WILHELM L.YETERSON PIN IP
�� _-°o°0 7 (0-053-0104) (0-p52-0006) a"+`
m L1`Y3'c Y ~ - (13.108 FT2) -�. .. 11 - E �- I m,m mo ml..
(10540�•FT2)--, {30 001 F2) n 2 -
9 735 FT B 518 FT).. 1 I£ a'"CIE
11 A=24 41'S7" ��
mot' HB9°39'45"E '* 7y'F• ,'- h9.11�_ L=21.55 LOFT.UTILITY $ I r.7:zr
4 C • - }'�•43'49"- A=40°23'15" /EASEMPNT(TYPICµ .I I °y
g .. 75'35 '8s, '4:°J6.�I.'..-i;.b Opp L_=1'2.10_- _____�TO' _ 5. < �o
c 72, 3 h - \ Y52,24 °d __80.00 70.00 L� ' N89°39'45"E-302.2L 'Sim m yo +-
HI '61z SA P1620 __( 202.24 T • 34TH STREET ix
8'4Al • r ��ej " - _"N89'J9'45"E-247.72 __ ___ _ o o___ _ _ _ _ N89°39'45"E-301.86 4.77 w W. _5B9°Sg'20"E-760_00
•
P..- .. 'yy g9°B' •" NO'20rI5 W -34TH STREET (50'R(W) 34TH STREET (60' R/W) A.F. #8002210005 (SEE GEN. INFO.Y5/ ^40.00 34TH STREET_Rg R,SPIWKE- '
A 00 8.72 •lo /
(12,752 T2) 1II, ";''., e' 188.23 . .N n o'� III FND IN 1979
(m
- -� h -20.J0 _-I 10' '� ' N89`37'3B"E-151.73- - N89°41'54"E-149.78 ��
144.28 m' 65.72 cR 0,-i7 A 58.23'40"1 T1�' 15F1. WATER d SEWER_ 1 Iy ai
•589'39'45"W-210.00�� L=34.95 (-�'ry - I f EASEMENT(AF#63510B)
,L____2'_ 7„ -A640'03'07""-...I o SA A1603 I 11I.m..
• LOFT.UTILITY / 5A-F 10._ " I r- I o I MLCHAEL E.JARHOE f
EASEMENT (TYPICAL) 6 m ERN L. BVRTNESS (0-054-0004L
2` 0-065-0001)
N ` 1 - T4 872 FT2 UNPLATTED
'LOT 1
(S P.AN-91-001) 15 2fi9 FT2J "'
-.m LEGAL DESCRIPTION -PER ISLAND TITLE COMPANY'S"SUIIOIVISIDN GUARANTEE-�
VERN L. BURTNESS - EXHIBIT A"- (SA-14869):
(0-065-0001) - 20.00 822.70 P
N89°39'45"E-142.70 '1':-.,----, "TRACT D OF ANAC0RTE5 SHORT PLAT N0.AN-86-001 Al APPROVED APRIL 28, 1986,AND RECORDED
!::
' • APRIL 30, 1986, ZN VOLUME 7 OF SHORT PLATS,PAGES 83 AND 84, UNDER AUDITOR'S FILE NO.
90.00 " 8604300004. RECORDS OF SKAGIT COUNTY, WASHINGTON;BEING A PORTION OF THE SOUTHWEST
589°79'45"W SA P1604„r" �gj QUARTER OF THE NORTHAST QUARTER OF SECTION 25, TOWNSHIP 35 NORTH, RANGE 1 EAST OF TOE
SUBJECT "TEAPIINUS"POINT OF - -- I •so•
-)• W1I.I.AEIETTE MERIDIAN;"
SHORT PLAT THOU EASEMENT IS0 _�•
SITUATED IN THE CITY LIMITS OF ANACORTES, SKACIT COUNTY,WASHINGTON.
13J.66FT FROM ELM I"' • -
'SE CORNER AND NOT (20,537 FT2) '-' A
o ,,.SUBJECT TO: EASEMENTS, RESTRICTIONS,COVENANTS,RESERVATIONS,ETC.,AS SHOWN ON THIS
•142.67FT AS SHOWN_o ;1''';''
c.. • DRAWING AND OF RECORDS.
iiiiiing ON DEED. ,ym^H . FT.MEILITY „ 1' -
o / __.EASEMENT . -ti - -
34TH STREET G TRAC1"C" _
(SP.AN-86-OOI) ^ 2-01 I.�00` �q'Z46:� • G.E-N E R A L I N F O R M A T I O N :
R.A.OICXINSON hO `76 -` -, •-,
I (0-065-0209) z '� d-',. ---'-'..
I I -(EX.WOOD.RET.WALL o N89°3,'45']: to" 1)_-WATER SUPPLY: CITY OF_,ANACORTES.
d PAVEMENT ARE ECCROACHING I. 7,92 `a 1 4 - "- -'
5P-AN-•t- 1 She 1 a 2} SEWAGE DISPOSAL'..CITY;OF ANACORTES.
UN LOT l BY i0.3FT.) R-50.00 T,0�1 r -. -„ -
I I 7 1-8 I C CONSENAIL 1 N86-53'52" dO '1T''U3'��I .1• 3) EXISTING'2ONING: RESIDENTIAL MEDIUM DENSITY(R3) - (6,000.00 SQ.FT.MIN.).
•_J i, .� SM N89°39'45"E S 232.82 9% 13 ti I S,h.. .. -
--I---1-- •- -' 175.00 57,82 - S"'_'9 ~', 4) THE PREPARATION'AND SURVEY OF THIS SHORT SUBDIVISION IS BASED ON THE FOLLOWING SOURCES:
35TH PLACE 25TN PLACE I - -- L°' ..
10� 74.87 ,P 68.80, A) ISLAND'TITLE COMPANY'S'�SUHDIVISION GUARANTEE"- (SA-14869)
tN• S89°39'45" -143.67 I
VICINITY MAP 1DFT.POWER&GAS EASEMENT • B) INFORMATION SHOWN ON ANAGORTES SHORT PLATS NO'S:AN-86-001 AND AN-91-001,AUDITOR'S
(NOT TO SCALE) (A.F. #8503150065 6 8504090074)` KENTH FORSMAN FILE NUMBERS:.8604300004 ANY'9705330018,;'RESPECTIVELY.
UNPLATTED (0_070-0004)
C) APPLICABLE STREET MONUMENTS FOUND AS'SHOWN,.=- -
SYMBOLS : 5) THE CENTERLINE OF THE"DEDICATED"34TH STREET-(A•E.N 8002210005)LOCATED BETWEEN"K"AVE.
o=REBAR 6 CAP AND THIS SHORT PLAT, IS LYING SOUTH,-4:77 FT FROM THE"PIATTED"CENTERLINE OF 34TH STREET
S•WHICH WAS MEASURED AND INTERSECTED BETWEEN STREET MONUMENT FOUND ON COIRIERCIAL AND "!1"
0' 50' 100' 150' 200'
R o=REFERENCE POINT AVENUES, 29TH STREET ETC. ALSO,THE'90_UTH-LINE 0L-.:THE 600 FT:'-R/IJ'IS NOT PARALLEL WITH THE
SCALE: 1.=5 0 ®=GONG, PION. (IN CASING) NORTH LINE,DUE TO ERRONEOUS DESCRIPTIONS SROWN'IN THE,ABOVE"DEDICATION",RECORDED FEBRUARY
21, 1980 AND IN"WARRANTY DEED"RECORDED OM'3ANUARI'23,-1979„UNDE:R,A.F.-#895218.
F(N STREET MONUMENT (FOUND) - -
SNP=SURFACE MONUMENT (FOUND) 6) SURVEY EQUIPMENT USED: HP 3810-A (TOTAL STATION*.�''.,
SA U1603=STREET ADDRESS 7) BASIS OF BEARING: BURTNESS' SHORT PLAT,AN-86-001=A.F. N8604300004.-'.-
• VERN L.d MURIEL A. BURTNESS •
-
SHORT PLAT OF TRACT "D„ PREPARED FOR 162D35THPLACE98 2,
pl i..V ANACORTES, uA'.98221 TEL: (360)'293-3519
0� WyN��
4, '�C,.9� SCALE: A"=50' DRAWN BY: J.H. JOB-N0: 1895•95
BURTNESS' SHORT PLAT AN-86-001 DATE: 7/1/96 APPROVED BY: - " DRAWING N0: - _
(VOLUME 7 OF SHORT PLATS AT PAGES 83-84 A.F.#8604300004) \ e' DESCRIPTION: SHORT PLAT
PART OF SW1/4 OF THE NE1/4 OF SECTION 25,TWP.35N,RG.1E.,W.M. '\elrrESE°
CITY OF ANACORTES, SKAGIT COUNTY, WASHINGTON u JOHN A.VADAT A ASSOCIATES MERIDIAN:
SEE ABOVE
Phone: (360) 293-9591 5809 SANDS WAY-SUITE F,Anacortes, Wn.
6.---De,i z•s11.41..C;�-,r O I 3-3
1
BUILDING PERMIT
CITY OF ANACORTES PERMIT NO. : BLD99-0069
P .O. BOX 547 APPLIED: 03/05/99
ANACORTES, WA 98221 ISSUED: 03/05/99
(206) 293-1901 EXPIRES : 03/05/00
SITE ADDRESS : 1620 35TH PL
ASSESSOR' S PARCEL NO. : 350125-0-065-0001
PROJECT DESCRIPTION: Extending roof line with covered deck and reroof
existing residence.
— OWNER — CONTRACTOR — LENDER
VERN BURTNESS BAKERVIEW BUILDERS
1620 35TH PLACE 1610 35TH PLACE
ANACORTES WA 98221 ANACORTES WA 98221
293-3519 206-293-7989
BAKERB*088JA
TYPE OF WORK •ADD AREA (sf) VALU. . . $ : 10000
TYPE OF USE •SF LOT 0 REQUIRED SETBACKS----
CENSUS CATEGORY •434 1ST FLR 0 FRONT 0 ft
ZONING 2ND FLR • 0 SIDE 0 ft
:R3 BASEMENT 0 REAR 0 ft
OCCUPANCY GROUP GAR/CARPORT. . . : 0 REQUIRED PARKING--
:R3 : ? : ? : ? •
OTHER • 204 TOTAL • 0
TYPE OF CONSTRUCTION HANDICAPPED: 0
: 5N : ? : ? : ? 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
PLCK $ 52 .33 MD 03/05/99 9687
PRMT $ 80 .50 MD 03/05/99 9687
STBC $ 4 .50 MD 03/05/99 9687
TOTAL $ 137 .33
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 e ID--0 Ja
Issued by Ap licant or Owner' s Signature
24 Hour Notice Required For All Inspections
bld_prmt, Rev: 06/11/92
V
COMBINATION PERMIT
CITY OF ANACORTES PERMIT NO. : C0M98-0103
P.O. BOX 547 APPLIED: 05/15/98
ANACORTES, WA 98221 ISSUED: 05/15/98
(206) 293-1901 EXPIRES : 05/15/99
SITE ADDRESS : 1620 35TH PL
ASSESSOR' S PARCEL NO. : 23501-0-065-0001
PROJECT DESCRIPTION: 352 square foot addition to existing residence
— OWNER — CONTRACTOR — LENDER
VERN BURTNESS
1620 35TH PLACE
ANACORTES WA 98221
293-3519
— FEES
TYPE OF WORK -ADD AREA (sf) VALU...$: 19000 Code Amount---- By- Date---- Receipt
TYPE OF USE -SF LOT 0 REQUIRED SETBACKS---- ESPL $ -100.00 am 05/15/98 8421
CENSUS CATEGORY -434 1ST FLR 0 FRONT • 0 ft PLCR $ 87.43 Pm 05/15/98 8421
ZONING 2ND FLR 0 SIDE(1)..: 0 ft PRMT $ 134.50 PC 05/15/98 8421
:R2 BASEMENT PZ 0 SIDE(2)..: 0 ft C $ 21.50 ID 05/15/98 8421
OCCUPANCY GROUP GAR/CARPORT...: 0 REAR 0 ft STEC $ 4.50 ED 05/15/98 8421
:R3 :? •? :? OTHER 0 REQUIRED PARKING--
TYPE OF CONSTRUCTION TOTAL 0
:5N :? :? :? : NUMBER OF UNITS • 0 ACCESSIBLE.: 0
OCCUPANT LOAD STORIES • 0 COMPACT • 0
. 0: 0: 0: 0: BUILDING HEIGHT.: 0 ft IMPRV SURF.: 0 sf
FUEL TYPES BOILERS/COMPRESSORS- DOMES. INCIN •0
:/GAS/ / /: 0-3 HP • 0 COMM. INCIN •0
FURN < 100K BTU: 0 3-15 HP • 0 RELOC/REPAIR...: 0 TOTAL $ 147.93
FURN >=100K BTU: 0 15-30 HP • 0 CLOTHES DRYERS.: 0
FURN - FLOOR...: 0 30-50 HP • 0 GAS WTR HEATERS: 0 — NOTES
UNIT HEATERS...: 0 50+ HP • 0 STOVE, APPLI...: 0
VENT FANS • 0 AIR HANDLING UNITS-- FIRE LOG/LITE..: 0
VENT SYSTEMS...: 0 <= 10000 cfm.: 0 WOODSTOVES • 0
VENT W/O APPLI.: 0 > 10000 cfm.: 0 OTHER UNITS • 1
EVAP COOLERS...: 0 GAS OUTLETS • 0
HOODS • 0
WATER CLOSETS...: 0 WASHING MACHINES: 0 FLOOR DRAINS • 0
BATH TUBS • 0 ELEC WTR HEATERS: 0 WTR PIPING/TREAT: 0
SHOWERS • 0 LAUNDRY TRAYS...: 0 HOSE BIBBS • 0
DISHWASHERS - 0 URINALS • 0 GREASE TRAPS • 0
LAVATORIES • 0 WASTE INTERCEPT.: 0 ADD'L FIXTURES..: 0
KIT SINKS W/DISP: 0 DRINKING FOUNT..: 0
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
com_prmt, Rev: 11/04/93
—.
t
, ) FOR INSPECTIONS CALL: CITY OF ANACORTES, . PERMIT it! 9723
.., .
293-1901 1 BUILDING 'PERMIT
E: 24 Hrs. Notice Requested . Site Address 1 620 ,a U., riaz,:;,
. . ..„ .
NAmst(OShNAme OF BUSINESS)
PLUMBING
. t, Vernhew-trigger;
Li h ,MA,IL1740 ADDRESS, I..' ' .. .
th Pl .
-
No. TYPE fir FUCTURE.Olt ffEM FEE
1620 '35. CITY TELEPHONE NUMBER Water Closet ' ' ' $ . .
Hic Anecortes.Ws.98221 293-3519 Bathtub
NAME • - ' Lavatory
,
. . ,
Shower
A,' ADDRESS- k
.. Kitchen ‘,.Sink, .„ -.
. _
! i .,
Dishwasher
< CITY TELEPHONE NUMBER Laundry Tray
• ,
' - Clcithes Washer
NAME Water Heater
.
Vern Surtnese Urinal
ADDRESS Drinking Fountain
1620 .36th Pl . - Floor Sink or Drain .
] CITY TELEPHONE NUMBER Slop Sink
o Anaeortes.We.96221 293-1E19 Water Piping
u
STATE LICENSE NUMBER CITY LICENSE NUMBER -
- ' t-0,Residential „ 0 NOn-ReSidential ,. PERMIT $ .
r , ID New '0-Adr1 11.Altor ,F.] Repair . TOTAL FEE $
ffi Building ' : , 0 Phinting a MeChaniaal MECHANICAL
0-Sign :' „ , ELDemolition 0 Other 0 GAS 0 OIL 0 ELECT. 0 OTHER
Legal Description Of PropetWOrlbkAccount,Ntimher;; '
No. T.''•—ftt-,TYPEf,OFYEdULF1VIENT FEE
Lot Block' , of
,
Air Cond. Unit $
Refrigeration Unit— HP
Boiler— HP
Forced Air System— BTU/KW
Describe Work Floor Furnace
Perot, Wall Heater
Unit Heater
Clothes Dryer
•
; Occupancy Use '
Ventilation Fan
R Single Family Residence 0 Multi-Family Residence Range Hood
0 Office 0 Retail 0 Storage 0chutch AEHandling Unit— CFM ;
0 Restaurant 0 Other I Pre-manufactured Stove or Fireplace . .
NOTICE Gas Piping
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 abtlioriied by such permit is not com- PERMIT $
menced within 180 days from the date Of permit,iSstuutcei Or if the building TOTAL FEE $
or work authorized by such permit is suspended or tbtodohed at any time -
after the work is commenced fora period of 180 days. 1
TOTAL FEES VALUATION FEE
•
By affixing my signature, I hereby certify that I ant the owner of the ,
Buildhig 400.00 $ '1 0.410
property for which this permit is issued or am an aifthorized,represen- .
tative of the owner. Plan.Check
Plumbing
All provisions of laws and ordinances governing this type of work will; h be complied with whether specified herein or not,including routine Mechnicel
.calls
', for inspections. Sign
. , Demolition
A)i If : :' tit 4:1 f ii4 4 /•,.:4:4-` 'it: '''" 1- ,/—:: Energy Surcharge .•
_
Signature of Owner or Authorized Agent, (Date) State Surcharge 4 5 al
Street Setback Side Yard setback` Rear Yard Setback : Offierl
. TIMM!,
use zone occupancy Group Type ofConst. Conditions:
. .
Lot Area Vacant Site Dwelling Units
0 Yes 0 No .
Fire Sprinklers Required No.of Stories Bedrooms Occupant Load
Dies 0No
Size of Bldg. Plans Checked By: ,
EISEN SIGNED ANTI DATEDREIAMT,THIS-IS YOUR PERMIT '
Ponied"te,tieetliktiveatO,Mishe.etheendnehedieci work.according to the conditions
hereon and'eniedditigniithribliteitend ARMS and pertaining theta,subject to
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SECTIOS 25 • •
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