HomeMy WebLinkAboutPermit File 804 O Avenue i FOR INSPECTIONS CALL: CITY OF ANACORTES PERMIT ` ,'_ 97 6 7
2113.1901 BUILDING PERMIT
24 Hrs. Notice Requested Site Address""i '' `'.enLie
NAME (OR NAME OF BUSINESS) PLUMBING
Jim Andet con
MAILING ADDRESS No. TYPE OF FIXTURE OR ITEM FEE
804 0 Avenue
CITY TELEPHONE NUMBER Water Closet S
Anacortes , WA 98221 29.i Bathtub
NAME Lavatory
Shower
ADDRESS Kitchen Sink
, •, Dishwasher
CITY TELEPHONE NUMBER Laundry Tray
Clothes Washer
NAME Water Heater
Refrigeration & Heating Urinal
re
ADDRESS Drinking Fountain
i 515 Port Drive Floor Sink or Drain
CITY TELEPHONE NUMBER Slop Sink
8 Burlington, WA 98233 Water Piping
STATE LICENSE NUMBER CITY LICENSE NUMBER
REFRII*208C6
❑ Residential 0 Non-Residential PERMIT $
O New ❑Add ❑ Alter ❑ Repair TOTAL FEE $
❑ Building 0 Plumbing B Mechanical MECHANICAL
❑ Sign 0 Demolition ❑ Other ® GAS 0 OIL 0 ELECT. 0 OTHER
Legal Description of Property or'l>tx Account Number No. - TYPE OF EQUIPMENT FEE
Lot Block of
I Air Cond. Unit $ '' '.14'
Refrigeration Unit— HP
Boiler— HP
1 Forced Air System— BTU/KW ') r"'
Describe Work Floor Furnace
Gas piping furnace air conditioning Wall Heater
Unit Heater
Clothes Dryer
Occupancy Use Ventilation Fan
❑ Single Family Residence 0 Multi-Family Residence Range Hood
❑Office 0 Retail 0 Storage ❑Church Air Handling Unit— CFM
❑ Restaurant 0 Other Pre-manufactured Stove or Fireplace
NOTICE
1 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 com- PERMIT $ 1 `, ,li 0
menced within 180 days from the date of permit issuance,or if the building TOTAL FEE $ 3 o ` ='
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 $ e /4
tative of the owner. Plan Check
All provisions of laws ord. es governing this type of work will mumbing SO :to'.
1,
be complied with whether pecifherein or not,including tine calls Mechanical
for inspections. / Sign
1 [ / Demolition
l /
�ti
ill, ti _,. 4. raj Pt- Energy Surch rge
arowndyr rind ) State Surcharge
Other
strew Setback Side Yard Setback Rear Yard Setback TOTAL S ,fit-J .1f )
Use Zone Oap d vncy Group Type coast. Conditions:
Ica Area Won Site Dwelling Units
❑Ws O No
Fin Spinklen Required No.of Stones Bedrooms Occupant Load
❑Ws ❑No
Size of Bldg. Mans Checked By:
WHIM SIGNED AND DATED BELOW,TIES W YOUR PFi)Qr
PaemWien Y hereby given to do the above dealbed work according to the conditions
hereon and awarding to the approved phi=and,Ptione pig them*,subject to
compliance with the flumes of the CITY OF ANACORTES.
Ord ) ,A,1)2
Permit Issued By I ,: ( ' '( S
Building Official (Date)
Edwin Frant'
PERMIT 1 . 9767
ADDRESS ,CLI 0 C,l C-X\h.lA
LEGAL DESCRIPTION
ASSESSORS" ACCOUNT NO.
PERMIT NO. DATE DESCRIPTION DATE FINALED
33f35Oct_ Q �.QCL*LC
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