HomeMy WebLinkAboutPermit File 3102 Georgia Place ` z Y o CITY OF ANACORTES
WASHINGTON
a h
1c OPS4• BUILDING DEPARTMENT
CERTIFICATE OF OCCUPANCY
This is to certify that the(Description of Building or Structure):
Single Family Residence
Located At: 3102 Georgia Avenue
STREET&NUMBER
Owner: Harold Bartram
Constructed By: Owner
OWNER OR CONTRACTOR
•
Bldg.Permit# COM99-0050 Date Of Issue: 10-18-9'
Occ.Group: R3 Use Zone: R2
Has Been Inspected And Occupancy Is Hereby Authorized,
This 28th Day of July 19— 2000
AU R ING OFFICIAL
SEE REVERSE SIDE FOR SP /AL REQUIREMENTS.
0
COMBINATION PERMIT
CITY OF ANACORTES PERMIT NO. : COM99-0050
P.O. BOX 547 APPLIED: 03/15/99
ANACORTES, WA 98221 ISSUED: 03/15/99
(206) 293-1901 EXPIRES : 03/15/00
SITE ADDRESS : 3102 GEORGIA PL
ASSESSOR' S PARCEL NO. : 4673-000-013-0000
PROJECT DESCRIPTION: New single family residence.
— OWNER — CONTRACTOR — LENDER
HAROLD & BETTY BARTRAM
120 MARINE DRIVE
BLAKELY IS WA 98222
293-3694
— FEES
TYPE OF WORK .NEW AREA (sf) VALU-..$: 285000 Code Amount---- By- Date---- Receipt
TYPE OF USE •SF LOT • 15160 REQUIRED SETBACKS---- ESPL $ -100.00 MD 03/15/99 9724
CENSUS CATEGORY •101 1ST FLR • 1809 FRONT • 21 ft PLCX $ 582.08 MD 03/15/99 9724
ZONING 2ND FLR 0 SIDE(1)..: 42 ft PRMT $ 895.50 MD 03/15/99 9724
:R2 BASEMENT • 2232 SIDE(2)..: 7 ft PMEC $ 73.00 MD 03/15/99 9724
OCCUPANCY GROUP GAR/CARPORT...: 1648 REAR • 58 ft PPLM $ 160.00 MU 03/15/99 9724
:R3 :? •? •? : OTHER • 368 REQUIRED PARKING-- nBC $ 4.50 MU 03/15/99 9724
TYPE OF CONSTRUCTION TOTAL • 0 XMPT $ 400.00 MD 03/15/99 9724
:5N •? :? :? : NUMBER OF UNITS • 1 ACCESSIBLE.: 0 STEM $ 1126.00 MD 03/15/99 9724
OCCUPANT LOAD STORIES • 0 COMPACT • 0
0: 0: 0: 0: BUILDING HEIGHT.: 0 ft IMPRV SURF.: 0 sf I
FUEL TYPES BOILERS/COMPRESSORS- DOMES. INCIN •0 III
:/GAS/ / /: 0-3 HP • 0 COMML. INCIN •0
FURN < 100K BTU: 1 3-15 HP • 0 RELOC/REPAIR.-.: 0 TOTAL $ 3141.08
FURN >=100K BTU: 0 15-30 HP • 0 CLOTHES DRYERS.: 1
FURN - FLOOR...: 0 30-50 HP • 0 GAS WTR HEATERS: 1 — NOTES
UNIT HEATERS...: 0 50+ HP • 0 STOVE, APPLI...: 1
VENT FANS • 3 AIR HANDLING UNITS-- FIRE LOG/LITE..: 1
VENT SYSTEMS...: 0 <= 10000 cfm.: 0 WOODSTOVES • 0
VENT W/O APPLI.: 0 > 10000 cfm.: 0 OTHER UNITS • 0
EVAP COOLERS...: 0 GAS OUTLETS • 1
HOODS • 1
WATER CLOSETS...: 3 WASHING MACHINES: 1 FLOOR DRAINS • 3
BATH TUBS • 1 ELEC WTR HEATERS: 0 WTR PIPING/TREAT: 1
SHOWERS • 2 LAUNDRY TRAYS..-: 0 HOSE BIBBS • 3
DISHWASHERS • 1 URINALS • 0 GREASE TRAPS • 0
LAVATORIES • 3 WASTE INTERCEPT.: 0 ADD'L FIXTURES..: 1
KIT SINKS W/DISP: 1 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 pplicant or Owner' s Signature
24 Hour Notice Required For All Inspections
com_prmt, Rev: 11/04/93
�--'
1
BUILDING PERMIT
CITY OF ANACORTES PERMIT NO. : BLD98-0360
P.O. BOX 547 APPLIED: 09/15/98
ANACORTES, WA 98221 ISSUED: 09/15/98
(206) 293-1901 EXPIRES : 09/15/99
SITE ADDRESS : 3102 GEORGIA PL
ASSESSOR' S PARCEL NO. : 4673-000-013-0000
PROJECT DESCRIPTION: Sewer hookup.
— OWNER — CONTRACTOR — LENDER
HAROLD & BETTY BARTRAM
120 MARINE DRIVE
BLAKELY IS WA 98222 1
293-3694
TYPE OF WORK -ADD AREA (sf) VALU. . . $ : 0
TYPE OF USE -SF LOT • 0 REQUIRED SETBACKS----
CENSUS CATEGORY -434 1ST FLR • 0 FRONT 0 ft
ZONING 2ND FLR • 0 SIDE • 0 ft
: ? BASEMENT • 0 REAR • 0 ft
OCCUPANCY GROUP GAR/CARPORT. . . : 0 REQUIRED PARKING--
: ? : ? : ? : ? 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
SEWR $ 3483 . 00 EF 09/15/98 9005
INSP $ 50 . 00 EF 09/15/98 9005
TOTAL $ 3533 .00
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 ,
bld_prmt, Rev: 06/11/92
l % fl
BUILDING PERMIT
CITY OF ANACORTES PERMIT NO. : BLD98-0226
P.O. BOX 547 APPLIED: 06/11/98
ANACORTES, WA 98221 ISSUED: 06/11/98
(206) 293-1901 EXPIRES : 06/11/99
SITE ADDRESS : 3102 GEORGIA PL
ASSESSOR' S PARCEL NO. : 4673-000-013-0000
PROJECT DESCRIPTION: Single family residence - foundation only.
— OWNER — CONTRACTOR — LENDER
HAROLD 8 BETTY BARTRAM
120 MARINE DRIVE I
BLAKELY IS WA 98222 I
293-3694
TYPE OF WORK -NEW AREA (sf) VALU. . . $ : 45000
TYPE OF USE -SF LOT • 15160 REQUIRED SETBACKS----
CENSUS CATEGORY . 9 1ST FLR • 1809 FRONT 0 ft
ZONING 2ND FLR 0 SIDE • 0 ft
:R2 BASEMENT • 2232 REAR • 0 ft
OCCUPANCY GROUP GAR/CARPORT. . . : 1648 REQUIRED PARKING--
:R3 : ? : ? : ? OTHER • 368 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
PRMT $ 260 . 50 MD 06/11/98 8562
STBC $ 4 . 50 MD 06/11/98 8562
PLCK $ 169 .33 MD 06/11/98 8562
TOTAL $ 434 .33
i
I hereby acknowledge that I have read this permit and state that the above information is correct, and agree to comply with all 1
ordinances and laws regulating activities covered by this permit.
J L
Issued by plicant or Owner' s ignature
24 Hour Notice Required For All Inspections
bld_prmt, Rev: 06/11/92
0
•
BUILDING PERMIT
CITY OF ANACORTES PERMIT NO. : BLD98-0360
P.O. BOX 547 APPLIED: 09/15/98
ANACORTES, WA 98221 ISSUED: 09/15/98
(206) 293-1901 EXPIRES : 09/15/99
SITE ADDRESS: 3102 GEORGIA PL
ASSESSOR' S PARCEL NO. : 4673-000-013-0000
PROJECT DESCRIPTION: Sewer hookup.
— OWNER — CONTRACTOR — LENDER
HAROLD & BETTY BARTRAM
120 MARINE DRIVE
BLAKELY IS WA 98222
293-3694
TYPE OF WORK -ADD AREA (sf) VALU. . . $ : 0
TYPE OF USE •SF LOT • 0 REQUIRED SETBACKS----
CENSUS CATEGORY •434 1ST FLR 0 FRONT 0 ft
ZONING 2ND FLR • 0 SIDE • 0 ft
• ? BASEMENT • 0 REAR • 0 ft
OCCUPANCY GROUP GAR/CARPORT. . . : 0 REQUIRED PARKING--
. ? • ? • ? • ? 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
SEWR $ 3483 .00 EF 09/15/98 9005
INSP $ 50 . 00 EF 09/15/98 9005
TOTAL $ 3533 . 00
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
bld_prmt, Rev: 06/11/92
. 6.s.
- �0 CITY OF ANACORTES
Cr F0 00 �,,. o.
BUILDING DEPARTMENT t O 'G a INSPECTION CARD
4.
(360)293-1901 S `�p �O +eon',,% (Card to be on job at all times)
49S
Job Address: t' 3 /CQ fseo�-54 R ' Assessors No.:1'973 --edx, nei3 Permit No.: 8 J S-e io Date Issued: fe-I/-?R
� I
Nature of Work: CO 1-7O/CJ Ion O n 1.1 Use of Building: S• f` PGalp/en GP Type: 531 Group: 14'3
Lender. Owner. ilGr6/Ul 1- ae- '�r'/fr�<NM, ,
Contractor: )
Address: i Address: Address: ° Iam. J rSA tbr.
City: State: City: State: City:Sicdlet • . S State: LA
Zip Code: Phone: Zip Code: Phone: Zip Code:9,5 Phone:,93 - 5%
Registration: Date:
INSPECTION Date Insp.Initial INSPECTION Date Insp.Initial COMMENTS
SITE&SOIIJFOOTINGS*gis/-g¢7' COM FRIG**
FOUNDATION* lag eW INSULATION**
PERIMETER DRAINS" DRYWALL NAILING**
PADS FOR POSTS* SEWER CONNECTION** t5y42, L.
G.
PLUMBING GROUNDWORK" T~a1 t SITE DRAINAGE ,
SLAB INSULATION" CURB CUT*
MISC. Peers rr`at. W
SHEAR NAILING** l-v'r��`�
ROUGH PLUMBING" weenie ttsaus~a J/ CERTIFICATE OF OCCUPANCY***
GAS PIPING FINAL*** *Do not pour concrete until signed off
_, _ **Do not cover until signed off
ROUGH HEAT&VENT** (Z}t fi rja ' _ &c i-9O L ***Do not building before signed&
Q� /.{ E71^'\ certificate issued
G.ecnrVw t r ".1 e ..,,n A oh r 1 a R
lC4✓C47,:vd/ Fo vhd� T / i1 ,44) ti !Ci// ^47l�I✓
.>.ae. is F.;::�d,�r:. . .....,::. �.-,./r/<::a;..;/ ,: ... .::e;....,:.,;u/;�«:»...q:y/.. �o:;>..0 u}y.
..�.:�2c..n } . .:.34C'/. ram. .a/,.:.Y:..auw,.. .4.:. .:.:... ...�. :..::.i:.;.!, Yi3}. 2E' x'v'.%ir",i''i vim s?S �u<ic",c`.�!u� 'ik>
».z:: yes n>t'`.'<:'>z4.'?s,�.:c.:a/�a n�y.�..;&nE.y;..r4.,!ti!n .r. . >a, ..c. l •;;.ti%>.-.>.;,�.:}✓ " 'k;{`; .:zRM Yv..6?d7eda,E:% .'sc! .y, e.4v
w>`v . $:q..$lk 334:3-n Y+,a..e...; r)ce. '4�.� � �( ��yy :a�'j,,w',... :4R!c`.n `" A9;:�.'
':'y?'}.!..-1 ',1.4 x:>. 1e4.,}.a:l';tAstY/!'vy.; kci �(y'2. 3 ,/3Si>)'. rc'y. a .n e,.
;,Y.�.. 0 2..v / Y na..C.♦ Y 24. tnY.� ei'i��Y�•o � i.F�#.�� RJ` ;el.� vl:N'o::/..vtt�.. n < « <'Y';
+�N.;F. ,.�/,;:a>ksll�iy.:.a,,ems,::.g!3r r.:.s, :>. .:. .: �., 3y'��.2'2.1,<al,/J:::. : }
iy( '::: .eN`.,,:<g.`% tes 4%3: c:3 i % `oC."cL .isa,..4,... .,-,2 n'S`:!M ' .;2:.i. ..y '4 n) .::e"v<Y`/;:ecr.9;:/?:14 se lyy¢..
'n`,S,.g.:2..::' yY.�s'�'%"i`. :4 °a..:..2 '.�'Yr>a ri:/; 58�,e. .:^?..?'L pl.:a/3 .Yyis 3.3p;, rYn:..:4,cG}.:S,r.: ;4x:a�jf . :5"c91.':
>2%.::<'.....�.$a..3r"Yr�O 2n �vaiaa/'.P43,•.nn >4. : .; ! 33 � ' :3./ .B.'<�.;::"'i3y:::'ary,f'd.<a,;ha '4,�rc`'.A/;%
� ).•v ✓eC$n :`? q.e4lc sl. F>? :.. 'G i ��''..l{{liyy``;;{{ <)-/S:4,yA.'S: ,.:*' `y`:'TMe'c.a )a a, r/a.
� :N'/Q.4F.I/Pw 5}Ln�m'i r,..Y3'/Y.:a.P'?G,knn?vn.Y �/?. :a�>�p "�'�JI�,�' /. ;y4 4 .</6/' 4 h/./ .�. 4YlY.r .'`°.L:.?:Y.:�:N>. Nrv<.3.<<`/:.�.um r 4:/4P Y:,p.. Sn ..::.:;,�:"T':;?,<, c:...e .... .,. nn , .:.. f....n.. .4 ?:�4;R.}e(/»r.Fei?%VFi Y:5 l,•,Y:!P.�Hr4.3n�:`¢f.:vx..
n `
.......>r.e.n:1n<.;Yi.e/:...... :ll,:n' :4 4.QU'F.4.....::� . ....., '' --
SITE ADDRESS: �3I of GC o R q//t P/9-el e: ASSESSOR NO.:`i////&13-CCDO/3-aaD b
/ P.-10gs-9-
LOT: /3 BLOCK: DIV: ADDITION: /,4T of.ucae9,4 P/tc,
ia> .:/�..a n..h.:.. s«< t. .c �,<,�,M.... wu::�. a:..4 tatittik �w<;t'�.9�'`pQ?' .}.� na ay?y.
Y Sr .,. « M a`t
L/
Name: Name: Name:
f--/ R0/0 vSe/jg 4A7.'A.ri i?..'t2/2er se//c
Mailing Address: Mailing Address: Mailing Address:
, ' : I .
City: State: Zip: City: State: Zip: City: State: Zip:
' ' /5rns ✓ H./ 7 '.'
Phone No.: Phone No.: Phone No.:
Contractor License:
Contact Person: 1/44:a; , -7 .- , Phone No.: 5;1 4/ J r-^G ,'j ;' ,1 ' 17
_s n�.o.:,. «.�.: .,,thw n .en '<vz.:�x4 erx:' S: a _.:«:.ccs-3:=P::/e.Y�,..:w4,.e >:ha; a ezt who?us%:tes is'�% a�3:a. . ., :za'AYex.
;fie . ' gaga' oe`vm :x_.-'O >.s, .roeY «�nt34'N:„x..f w<!.x::�e}e' .., ;;4'aa4: ,p,,Cvt ,,,,,a a.;a}:t,?W..;>,?.�,N4.v'a;>m m.'�?A:. <;Y'mclri.n32}l
' '��i��., � roe. �a,4},ro?>.�a�n�'F�°z'7`�,'�" }� «��«. �«Y4�.7 x�+«,>,:a I���``�."'P � � � .n.. :Yr� <4, aY:�. a ..>.>./n/r "'� a`�:4 ale eY n Yw.nnx:.. t':�.,.. ...... n/: ..:¢a..<aY/r,::F4Y..,4.. . :n/.ca.../._;:�.,F4.:;:,.:.. .:..n. x3,n:..:..a: w... 'F«. `.�ca`..?' nL`:F. 4s. . >.exm,<n>nn...e..
(Check One)
Single Family: .Y Multi-Family: Apartment: Condominium: Senior Housing:
Retail:_ Office: Restaurant: _ Manufacturing: Storage: Bank:
Assembly: _ Accessory: Automotive Repair: Other(Specify):
DESCRIBE OF WORK: Jt n9. It F u t"b Lind( 2$"�c�> Jar
a/.,;h.:. .. .... :.>.,4 .:.,. Y ::.>� :,: .,.::nna,�„.» ..»...<4F:}..:<4 :,.:.:.e:;;_.,..e:<.%:Je,.eF;,_n.;e>4%<:..::>e,:.</}:::>PF4,..:,,
.� / . m;Y w..� ..ua'- Vaa`?x . 3�.:ce.:a- ;3w:.Y .o n«.;...a ..':?i :?3v1.v::8,¢ac yi?::r'?.'s`::8ti'«:.:?'T8
r.4a«'`�'aF" -aF��F.ca. e:e°,'hnea?,x .em'6 a�?w>0�..va. � > ?o _ ' tFya-c`2a�3anp^Fvaa o' >:��)<? e•;..4x.
�} -w'S�,'i'amFs, Ju.akxc'�.«c>`w`.3? x."ee .< yt e�< }�}.w:.nae�.nww.<::2H�v�d:;F1,'n`v:4_�`:x:�n:-.a,�oei}:F.>:>,:/gx.W�.?ax.,.�
�' nt2'o�'^'`.. xh�'`x>'.Y4`4.unO3".^vn-.°.!h .1:t a4«'aPn<«R^t!_,: .Y..y,T. ,f.',� 'g ; :k> ;sW 44.*SSW a. , .C�
T w.A4T OAS. ..�.«.>Q4 date � M. �� ,,, Sron:`"vx�' Cu 3b Sat u>:{` <vh"Y. .y:Yu<n-.YPn Set<%z� 3 .YaB: ,?�2w":"«8o t�2at'o`wo:.e;'J.'da�o::lri:«;3%>:"'}.'':Ca .bn3-�:`tae)-'�'.3.h..d'.r.<F<.Ssos:}%�<:��iaiw'.oe c..ro aE:$>r✓aa.-...:<e>F:rc''�q'..>�'<,�c 2a,::wY�ew `vx :.<w; aW?'?�',^.e.°}F.:oro}w <Y �.wnmc;?gym'.g'waF144m?w¢ .�c!a:Yya3'e.:n«ggi aaY�a.�'§cs...a.?x c?>a4�,.yr«Sx'�h.? x},.�e^_:,S:a<e �,,;F«:aa..e<e�'::w.Y.e...F�<
q-ey>ppixa., e1::.4., J.�-. Ke�i xYel.e�'pC/h .0.;"9.CU 'JJksi.}iM.mhpO;ri.Wryp,<e..:v,>.yJn4h.O:O' a}J:n a:O�C�a::YJO'O' FM.a.., :0.Chai".}.OFf:.np.4'SUv.F.\h„ilFi,bx:.:N.a:C„
:xa.,414�Y,.Faw dn<men-/,}>.:.3<.rr:+.w.wn.%ra3:o..n :�o Ff4 e„'.e�,}:
4.Y x:0<a.Lx:..aw:ay..�o�.`.4>}Q.'e`..S.:Yn..:AWvv..RaQwmn:9\4.vn4v°'?a.Ux..}.'SJ:x.`6n..xxUn,a:.aYy:<.4v�.}:i<uAn,,.4e<,rvvn...:.M.,.//n...,v».vn::...v...v...nMenx}..vF.vim..
Street Setback: a i ft. 2nd Floor: sf. (Circle Y or N)
1st Side Setback: ht, ft. 3rd Floor: sf
2nd Side Setback: 7 ft. Basement: 2_,a '3 sf Shoreline/Wetlands Y N"J
Rear Setback: , ,.? ft. Occ. Group: Water on/Adj.to Property e N
Use Zone: Carport Area: sf. Soils Report Y
Type of Construction: Fie19-<-n e Garage Meat /,6 e sf Sensitive Area. Y
Lot Area:/S, i 1D sf. No, of Stories: 3 sf. Latecomers Agreement Y
No. of Dwelling's: 6 Building Height: sf. Fire Hydrant(250 FT) 1' N
Lot Coverage: /ti Y e Deck Area: 36 2 sf. Variance Y a
1st Floor://So9 sf Covenant RECEJVEf5t N
Project Valuation (Labor and Material Cost): 4� O oo `G MAY 12 199$
THIS APPLICATION IS RECEIVED BY THE BUILDING OFFICIAL UNDER THE PROVISIONS OF THE UNIFOR M5 D HALL EXPIRE
BY LIMITATION AND BECOME NULL AND VOID IF PERMIT IS NOT OBTAINED WITHIN 180 DAYS OF THIS APPLICATION. BY AFF ING 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.
.-L--
SIGNATURE' c7 e. 7ta. (1. efec•c`' ,, ..., DATE: C'-. d ^ .-.5)8
•
`,,, ,iLs_c_7"9------ 2 , a ��
\\,,N (or
?� 3 g XJe- V fl/v 5- - ; 11t'
jot tail la
�Gv' =` Cu 7eGs
C....— 0111.1** \ (Al
t 4 is ,,
I 4
1 1 k ,.
. :r
p 1j wRTP2 in -3
.,. \ iti‘(‘(.=.-. ;45-;"iN k-c
,,—,il-.\.--gQe,0.. v0ic-a0 i0#vo-.-/00t/eg5;7.-7
1 ki . :\ L v` \ \XLnq_ Q
e —
O
vce
Tp xTu (�10
ne Undue rp V��Y �cl �< \ V` c 11 eQ 'C ,ra
°5T fi fro"' kj� f� 4Z e-Pei,
(1z1
lf-0\iet ji,il.._23J_o,r%c c3k-A atu:ik qn/3-e-/.4 --;----"<-11/7_dzv_yG 1_.___V e-70 p;_I0iN_'_e"4_7
_,',-W5-_t3--i Fjle}—t-,A-0----\.c.i\r,-
o f,T i �j � t ae _ cam`
T I
1 rf 3-!°-Q_--
(� STREET CUT PERMIT()
CITY OF ANACORTES PERMIT NO.:
P.O. BOX 547 APPLIED: 99-10-18
ANACORTES,WA 98221 ISSUED: 99-10-18
(360)293-1901 EXPIRES: 00-10-18
•
SITE ADDRESS: 3102 GEORGIA
ASSESSORS PARCEL NO.:
PROJECT DESCRIPTION: Install 2 curb cuts per approved building permit.
OWNER CONTRACTOR
HAROLD BARTRAM
120 MARINE DRIVE
BLAKELY ISLAND,WA 98222
Primary Phone: Primary Phone:
Phone 1: 360.293.3694 Phone 1:
License*
PERMIT TYPE NUNBER
CRB 2 Start Date: 99-10-19
0.00 Finsih Date:
FEES SPECIAL REQUIREMENTS
Type By Date Receipt Amount •
MISC EF • 99-10-18 0103932 $50.00
Total: $50.00 -
Proposed starting date requirements of Ordinance No. 581 shall be followed, including bonding,warning,traffic control
and barricade devices, restoration of pavement and liability. Applicant and owner assume responsibility for any and all
damage toexisting facilities, whether publicly or privately owned.
Issued by Applicant or Owner's Signature
CONDITIONS OF APPROVAI '
24 Hour Notice Required For All Inspections
ID STREET CUT PERMIT(
CITY OF ANACORTES PERMIT NO.:
P.O. BOX 547 .APPLIED: ` 9-10-18
ANACORTES,WA 98221 - ISSUED: 99-10-18
(360)293-1901 EXPIRE& '00-10-18
SITE ADDRESS: 3102 GEORGIA
ASSESSOR'S PARCEL NO.:
PROJECT DESCRIPTION: Install 2 curb cuts per approved building permit.
OWNER CONTRACTOR
HAROLD BARTRAM
120 MARINE DRIVE
BLAKELY ISLAND,WA 98222
Primary Phone: Primary Phone:
Phone 1: 360.293.3694 Phone 1:
License#:
PERMIT TYPE NUNBER
CRB 2 Start Date: 99-10-19 •
0.00 • Finsih Date:
FEES SPECIAL REQUIREMENTS
Type By Date Receipt Amount
MISC EF 99-10-18 0103932 $50.00
Total: $50.00
Proposed starting date requirements of Ordinance No. 581 shall be followed, indudtng,bondtrtg1waming,:trafficicontrol
and barricade devices, restoration of pavement and liability. Applicant and owner assume-rtspbnsibilityforrany and all
damage toexisting facilities, whether publicly or privately owned.
Issued by Applicant or Owner's Signature
CONDITIONS OF APPROVAL:
24 Hour Notice Required For All Inspections
STREET CUT PERMIT
CITY OF ANACORTES PERMIT NO.:
P.O. BOX 547 APPLIED: 99-10-18
ANACORTES, WA 98221 ISSUED: 99-10-18
(360)293-1901 EXPIRES: 00-10-18
SITE ADDRESS: 3102 GEORGIA
ASSESSOR'S PARCEL NO.:
PROJECT DESCRIPTION: Install 2 curb cuts per approved building permit.
OWNER CONTRACTOR
HAROLD BARTRAM
120 MARINE DRIVE
BLAKELY ISLAND,WA 98222
Primary Phone: Primary Phone:
Phone 1: 360.293.3694 Phone 1:
License#:
PERMIT TYPE NUNBER
CRB 2 Start Date: 99-10-19
0.00 Finsih Date:
FEES SPECIAL REQUIREMENTS
Type By Date Receipt Amount
MISC EF • 99-10-18 0103932 $50.00
Total: $50.00
Proposed starting date requirements of Ordinance No.581 shall be followed, including bonding,warning,traffic control
and barricade devices, restoration of pavement and liability. Applicant and owner assume responsibility for any and all
damage toexisting facilities, whether publicly or privately owned.
Issued by Applicant or Owner's Signature
CONDITIONS OF APPROVAL:
24 Hour Notice Required For All Inspections
0 DUPLICATE RECEIPT DUPLICATE RECEIPT
CITY OF ANACORTES
MUNICIPAL BUILDING
504 ETH STREET
(3E0) 233-1508
FINANCE DEPARTMENT
KEG-RECEIPT:03-0103932 C:Oct 18 1555
CASHIER ID:B 3:54 pm A:Oct 13 1359
1130 CURB CUT PERMIT FE $3G.GO
TOTAL DUE 5G0.03
RECEIVED FROM:
HAROLD BARTRAM - 3102 GEORGIA PLACE
OHECK: $30.00
TOTAL TENDERED $ 0.00
CHANGE DUE $0.00
---------------------
THANK YOU FOR YOUR PAYMENT
DUPLICATE RECEIPT DUPLICATE RECEIPT
2
G,�Y City Of Anacortes
S
yy Right-Of—Way Permit
ooarc
Site Address�452 . -coj/4 '/ a Permit No.
eX7cQt^ 0-5-ri/o3Zrz-
Owners Name/A, t/I 5 Z/ r.�,,, Contractor 3-, 1,
Address Jac ,A9 rets:n c- J7R Address
City54A?- State le/,¢ City State
Zip Code 73 2 2 -2- Phonel73-3 1% Zip Code Phone
Start Date/9f777 Finish Date/%% License No.
UTILITIES/STREETS
CHECK ITEMS THAT APPLY TO THIS PERMIT:
Curb Cut gi Water ❑ Sewer ❑ Storm Gas ❑
Street Cut Phone ❑ Power T.V.
Description of Work: fPG„c v, G've6 qF Po 4,74 ;ram'
II
'^.�y 4•
j
Location Sketch
Applicant is to show location of proposed work,Engineering is to show approximate location of existing facilities.
Determination of actual location is the responsibility of the Applicant. Call 1-800-424-5555
1
yll
SPECIAL REQUIREMENTS
Application for permit shall be not less that five(5)days prior to proposed starting date requirements of Ordinance No.581,
shall be followed, including Bonding,Warning,Traffic Control and Barricade Devices, Restoration Of
Pavement and Liability.
Applicant and owner assume responsibility for any and all damage to existing facilities,whether publicly or privately owned.
Applicant Signature Title Date
Nama°� APPROVED BY Date
Jy..lt , Title/W /D /$e'?
Y City Of Anacortes1010.111111,
Alkk
-7 Right-Of—Way Permit
4000
Site Addres 4-2 i Permit No.
Zop t 0-5_�,�o393Z,
Owners Name/,4, t/I (3,07_744-,, Contractor
Address, ate' , / e J`7.f Address
City84;k 57 ,f'L rt n d State fL/,e City State
Zip Code 7r� 2 —2— PhoneX3 3E?Y Zip Code Phone
Start Date/079/ Finish Date/%%. License No.
UTILITIES/STREETS
CHECK ITEMS THAT APPLY TO THIS PERMIT:
Curb Cut Water Sewer ❑ Storm Gas ❑
Street Cut Phone ❑ Power T.V.
Description of Work: PPi.„c vt evil <f Po v2 2 42;
II
r;49 •6> , Qom' :j^'"tt .17"i' % 7-IA�"►`i
Location Sketch
Applicant is to show location of proposed work,Engineering is to show approximate location of existing facilities.
Determination of actual location is the responsibility of the Applicant. Call 1-800-424-5555
II
III,
SPECIAL REQUIREMENTS
Application for permit shall be not less that five(5)days prior to proposed starting date requirements of Ordinance No.581,
shall be followed, including Bonding,Warning, Traffic Control and Barricade Devices, Restoration Of
Pavement and Liability.
Applicant and owner assume responsibility for any and all damage to existing facilities,whether publicly or privately owned.
Applicant Signature Title Date
APPROVED BY Date
Nam . t /,/Title�l�v• ID
\_1
0.11 a1/2, City Of Anacortes
�y Right-Of—Way Permit
Atooe
Site Addres9 2 c /7-4 7/ a Permit No.
G. —c�ia393L
Owners Name/7402, f Sjx /c..„-, Contractor Se l,c
Address/Pc A/ /n e J7,e Address
City54:1-A2/ L.F„s' State le-"( City State
Zip Code 782 2 z- PhonoV3-3E 9 Zip Code Phone
Start Date/9//Y/ Finish Date/i%f/, t License No.
UTILITIES/STREETS
CHECK ITEMS THAT APPLY TO THIS PERMIT:
Curb Cut Water Sewer Storm ❑ Gas ❑
Street Cut Phone Power T.V. ❑
Description of Work: RPhre E Po vic ,'Are
Location Sketch
Applicant is to show location of proposed work,Engineering is to show approximate location of existing facilities.
Determination of actual location is the responsibility of the Applicant. Call 1-800-424-5555
SPECIAL REQUIREMENTS
Application for permit shall be not less that five(5)days prior to proposed starting date requirements of Ordinance No.581,
shall be followed, including Bonding,Warning,Traffic Control and Barricade Devices, Restoration Of
Pavement and Liability.
Applicant and owner assume responsibility for any and all damage to existing facilities,whether publicly or privately owned.
Applicant Signature Title Date
APPROVED BY Date
Nam/r Title/4 4 /g—lf*