HomeMy WebLinkAboutPermit File 2010 O Avenue - FOR INSPECTIONS CALL: CITY OF 'ANACORTES PERMIT ;12 8487
293-1901 BUILDING PERMIT
' 24 Hrs. Notice Requested Site Address 2010 0 Avenue
NAME (OR NAME OF BUSINESS) PLUMBING
x Jim Clark
MAILING ADDRESS No. TYPE OF FIXTURE OR ITEM FEE
2.002 0 Ave.
CITY TELEPHONE NUMBER Water Closet $
Anacortes Wa. 98221 293-7094 Bathtub
NAME Lavatory
e Shower
ADDRESS Kitchen Sink
U Dishwasher
a CITY TELEPHONE NUMBER Laundry Tray
Clothes Washer
NAME Water Heater
x Roof Care Prof Urinal
Q ADDRESS Drinking Fountain
z 1,117 So l 8 t h Floor Sink or Drain
z CITY TELEPHONE NUMBER Slop Sink
u Mt Vc,rnon We q$773 424-04-00 Water Piping
STATE LICENSE NUMBER CITY LICENSE NUMBER
ROOF CP1 '?chid
Q Residential 0 Non-Residential PERMIT $
❑ New ❑ Add ❑ Alter ❑ Repair TOTAL FEE $
1 1 Building 0 Plumbing 0 Mechanical MECHANICAL
❑ Sign 0 Demolition 0 Other ❑ GAS 0 OIL 0 ELECT. 0 OTHER
Legal Description of Property or Tax Account Number
No. TYPE OF EQUIPMENT FEE
Lot Block of
Air Cond. Unit $
Refrigeration Unit— HP
Boiler— HP
Forced Air System— BTU/KW
Describe Work Floor Furnace
Wall Heater
flor'oof Unit Heater
Clothes Dryer
Occupancy Use Ventilation Fan .
O Single Family Residence 0 Multi-Family Residence Range Hood
❑Office 0 Retail 0 Storage 0 Church Air Handling Unit— CFM
O Restaurant 0 Other 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 authorized by such permit is not corn- PERMIT $
menced within 180 days from the date of permit issuance,or if the building TOTAL FEE $
or work authorized by such permit is suspended or abandoned at any time
after the work is commenced for a period of 180 days. TOTAL, FEES VALUATION FEE
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- Building 1 , 100 .00 $ 19 .00
tative of the owner. Plan Check
Plumbing 0 .00
All provisions of laws and ordinances governing this type of work will Mechanical
be complied with whether specified herein or not,including routine calls
for inspection Sign
Demolition
(I Arm' d, ,ray-.. ii,t , Energy Surcharge
Sign. 1 *,. r or Authorized Agent (Da State Surcharge
Other 4. 50
Street Setback Side Yard Setback Rear Yard Setback TOTAL $
2
Use Zone Occupancy Group Type of Cont.
Conditions: . 5 f)
Lot Area Vacant Site Dwelling Units
❑Yes ❑No .
Fire Sprinklers Required No. of Stones Bedrooms Occupant Load
ID Yes ❑No
. Size of Bldg. Plans Checked By:
WHEN SIGNED AND DATED BELOW,T N N YOUR PERMIT
Permission is hereby given to do the above deem'bed work,awarding to the conditions
hereon and according to the approved plan and specifications pertaining therto,subject to
compliance with the ordinances of the CITY OF ANACORTFS.
Permit Issued By;-; 1, / : C i . d DO 1/31;91
Building Official (Date)
Edwin Frank PERMIT ?Ts 848