HomeMy WebLinkAboutPermit File 1402 R Avenue C
FOR INSPECTIONS CALL: 3 CITY OF ANACORTES PERMIT
293-1901 BUILDING PERMIT
24 Hrs. Notice Requested Site Address t 402 R Avenue
NAME(OR NAME OF BUSINESS)
Port of Anacortes PLUMBING
MAILING ADDRESS No. TYPE OF FIXTURE OR ITEM FEE
• P. O. hor 297
•
CITY TELEPHONE NUMBER 2 Water Closet $ 4 .00
•
•
Anacortes, WA 98221 3134 Bathtub
NAME 2 Lavatory 4 .00
Marc Estvold Shower
ADDRESS Kitchen Sink
u 3110 Commercial Dishwasher
CITY TELEPHONE NUMBER Laundry Tray
Anacortes, WA 98221 's.: • 5500 Clothes Washer
NAME I Water Heater •00
Rob Peterson 2 Urinal 4 .00
ADDRESS Drinking Fountain
1287 Avon Allen 2 Floor Sink or Drain 4.00
} CITY TELEPHONE NUMBER Slop Sink
u Burlington, WA 98233 Water Piping
STATE LICENSE NUMBER CITY LICENSE NUMBER
ROBPEE*097D2
❑ Residential 0 Non-Residential PERMIT $ 3• 00
•
3New ❑ Add ❑ Alter ❑ Repair TOTAL FEE $ 21 . 00
lr'kBuilding lI Plumbing 0 Mechanical MECHANICAL
' ❑ Sign 0 Demolition 0 Other 0 GAS ❑ OIL ❑ ELECT. ❑ 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
Restroom within an existing web Wall Heater
locker Unit Heater
Clothes Dryer
Occupancy Use Ventilation Fan
❑ Single Family Residence 0 Multi-Family Residence Range Hood
❑ Office 0 Retail 0 Storage 0 Church Air Handling Unit— CFM
❑ 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 com- 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 / —.I-
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 Buildin32 ,000.UO $ ,:9U 0Cr
property for which this permit is issued or am an authorized represen-
tative of the owner. Plan Check 1 94 00
Plumbing 3 1 0U
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 inspections. Sign
/ / Demolition
�j +g"t > ,>n .o4 'V* , ' 9 / Energy Surcharge
Signature of Owner or Authorized Agent (Date) State Surcharge 4 50
Other
Street Setback Side Yard Setback Rear Yard Setback TOTAL $ 517 . 50
' Use Zone Occupancy Group Type of Conat. Conditions:
Lot Area Vacant Site Dwelling Units
❑Yes ❑No
Fire Sprinklers Required No. of Stories Bedrooms Occupant Load
❑Ya ❑No
Size of Bldg Plans Checked By:
WHEN SIGNED AND DATED BELOW,IBIS IS YOUR PERIDT
Permission is hereby given to do the above decibed work,aoeuding to the conditions
hereon and aceordiog to the approved plans and specifications pertaining therto,subject to
compliance with the ordinances of the CITY OF ANACORTES.
' - 10/02/91
Permit Issued By {-, , L'L 1 f / / I "f 4,i(f..
Budding Official (Date) 10 9161
Edwin Frank
PERMIT