HomeMy WebLinkAboutPermit File 4020 Peters Lane `o o CITY OF ANACORTES
WASHINGTON
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vcoRt`' BUILDING DEPARTMENT
CERTIFICATE OF OCCUPANCY
This is to certify that the(Description of Building or Structure):
Single Family Residence
Located At: 4020 Peters Lane
STREET&NUMBER
Owner: Christenson Bros.
Constructed By: Owner
OWNER OR CONTRACTOR
Bldg Permit # 9204 Date Of Issue:
Occ.Group: R3/M Use Zone: RH
Has Been Inspected And Occupancy Is Hereby Authorized,
This l t. Day Of February 19 92,
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A HORIZII G OFFICIAL
SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS.
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9204 4020 Peters Lane Christenson Bros. 10-15-91 VN R3/M RM
New Single Family
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1 FOR INSPI=CTIONS CALL: CITY OF ANACORTES PERMIT
293-1901 BUILDING PERMIT
t' 24 Hrs. Notice Requested ski Address4020 Fencers Lane
•
l +NAME(OR NAME OF�BUSINESS)
Christenson Oros PLi)AtBfiIG
p MAILING ADDRESS No. TYPE OF FIXTURE OR ITEM FEE
i 1557 Memorial Hwy
CITY TELEPHONE NUMBER 3 Water Closet • $ 6.00
'' Mt. Vernon, WA 98273 424-0766 2 Bathtub 4.00
'`t NAME 4 Lavatory 8.00
' Crane Design I Shower 2.00
ADDRESS 1 Kitchen Sink 2.00
10803 Kent Kangley Rd. 1 Dishwasher 2.00
CITY TELEPHONE NUMBER Laundry Tray
Kent, WA 98031 859-2454 1 Clothes Washer 2.00
NAME 1 Water Heater 2.00
Christenson Bros Urinal
ADDRESS Drinking Fountain
Floor Sink or Drain
CITY TELEPHONE NUMBER Slop Sink
u 1 Water Piping 2.00
STATE LICENSE NUMBER CITY LICENSE NUMBER
' CHRISB$11O/00
lit Residential 0 Non;Residential PERMIT $ 3. 00 1
Ill New ❑Add 17 Alter` 0 Repair TOTAL FEE $ 33.00
Ill Building IlI Plumbing 41 Mechanical MECHANICAL
❑Sign ❑ Demolition [2 Other 12 GAS ❑ OIL ❑ ELECT. ❑ OTHER
Legal Description of Property or Tag Account Number
Lot 1 Block of Na TYPE OF EQUIPMENT FEE
Peters First Addition AirCond. Unit $
Refrigeration Unit— HP
Boiler— HP
1 Forced Air System— BTU/KW 9. 00
Describe Work Floor Furnace
New single Family residence Wall Heater
Unit Heater
Clothes Dryer
Occupancy Use Ventilation Fan
` lRSingle Family Residence 0 Multi-Family Residence Range Hood
❑ Office ❑ Retail ❑ Storage ❑Church Air Handling Unit— CFM
❑ Restaurant 0 Other - Pre-manufactured Stove or Fireplace
NOTICE 1 Gas Piping 3 00
This permit is issued by the Building Official and,udder the provisions
of the Uniform Building Code,shall expire by limitatifep and become null
and void if the building or work authorized by such jjrmit is not com- PERMIT $ 15 00
menced within 180 days from the date of per$hit issuance;or if the building
. or work authorized by such permit is suspended or abandoned at any time TOfAPEE $ 27 00
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 Building 73,895.00 $ 355 00
property for which this permit is issued or am an authorized represen-
tative of the owner. Plan Check 181 00
"I Allprovisions of Iaws and ordinances ' Plumbing 33 00
governing this, of work will ,
be complied with whether specified re' *not,in ng routine calls Mechanical 27 00
for inspections. - Sign
// Demolition
/_, Energy Surcharge '
' signature of owner or need Agent (base) State Surcharge 4 50
= street Seibert Side Yard Seasick Near Yny gibed Other sewer 2770 00
20 20 TOTAL $ 3,370 SO
Use Zone RH Occupancy GroupR3/M Type ofconst. VN Conditions:
Lot Area Vacant Site Dwelling Units I
Nits ❑No
' File Sprinklers Required Np of Stories Bedr�ms Occupant Load
. " ❑Yea It(No •. •$
_ Size of Bldg. Plans Checked By: Lyle
*
non NIBNBII AND BA'IW SHIN N Out Femur
�Pern a =n awl meernfre be t to ath! - swat scats to the eeutcu e
' emtpaame with the ordinaiee l OF ANACOR1'F�itilitslices pertaining theta subject to
.;
10/15/91 :
Permit Issued By 1 k' : J( .tH J! g t--y!1/ ,
Building Official (Dee) NI vim#
Edwin Frank w�iP
PERMIT