HomeMy WebLinkAboutPermit File 3907 R Avenue FOR INSPECTIONS CALL: CITY OF ANACORTES PERMIT , _ 9601
293-1901 BUILDING PERMIT
24 Hrs. Notice Requested Site Address ::91}7 It Av`ailu '
NAME (OR NAME OF BUSINESS) PLUMBING
Bud Strom
MAILING ADDRESS Na TYPE OF FIXTURE OR ITEM FEE
3907 R Avenue
CITY TELEPHONE NUMBER Water Closet $
Ana,Aar tos, WA 98221 293- ;,(*1 Bathtub
NAME Lavatory
Shower _
ADDRESS Kitchen Sink
Dishwasher
CITY TELEPHONE NUMBER Laundry Tray
Clothes Washer
NAME Water Heater
Savage Roof ltiej Urinal
cc
ADDRESS Drinking Fountain
Bo, 336 Floor Sink or Drain
CITY TELEPHONE NUMBER Slop Sink
e Anacortee, WA 98: 21 93-2021 Water Piping
STATE LICENSE NUMBER CITY LICENSE NUMBER
SSAVAGRI'It4PC)
DCResidential 0 Non-Residential PERMIT $
❑ New ❑ Add ❑ Alter ❑ Repair TOTAL FEE $
D(Building 0 Plumbing 0 Mechanical MECHANICAL
0 Sign 0 Demolition ❑ Other 0 GAS 0 OIL ❑ ELECT. 0 OTHER
Legal Description of Property or Tax Account Number Na TYPE OF EQUIPMENT FEE
Lot Block of
Air Cond. Unit S
Refrigeration Unit— HP
Boiler— HP
Forced Air System— BTU/KW
Describe Work Floor Furnace
Tear off and retool class 4 Built Wall Heater
op Unit Heater
Clothes Dryer
Occupancy Use Ventilation Fan
D.Single Family Residence ❑ Multi-Family Residence Range Hood
❑ Office ❑ 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 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 Building 6 . 500.Cif.. $
property for which this permit is issued or am an authorized represen-
tative of the owner. 1 Plan Check
All provisions of s o antes governing this type of work will Plumbing
law
be complied with w s ifted herein or not,including routine calls Mechanical
for inspections. / ! -. i' Sign
/; Demolition
t, ' `, Energy Surcharge
K
SiiIii or Owr7er or ._.Agent (Date) t State Surcharge 4 . f.,C
Street Setback Side rim Setback Bear Yard Selback Other
TOTAL S tt T `.''•
Use zone Occupancy Group n'Type or Con . Conditions:
Lot Area Vacant Site Dwelling Units
❑yes ❑No
Fire Sprinklers Required Na of Stories Bedrooms Ottvpan Load
❑Yes ❑No
Size of Bldg. Plans Checked By:
WHEN SIGNED AND DATED BELOW,TRW 18 YOUR PERMIT
FeemWns is hereby given to do the above teethed work amodieg to the conditions
hereon and eeflig to the approved plans and spettias pertaining therto.subject to
e®pllsm with the ordimaces at the CITY OF ANACORTES.
/ i7
Perm! Issued By i l / /��? { /
Building Official (Date) -�
Eciw in Frank
PERMIT ! ' 9601