HomeMy WebLinkAboutPermit File 4116 R Avenue 0
FOR INSPECTIONS CALL: CITY OF ANACORTES PERMIT 'i 9830
293-1901 BUILDING PERMIT
24 Hrs. Notice Requested Site Address41 16 R Avenue
NAME (OR NAME OF BUSINESS)
Mr . & Mrs. BrooFs PLUMBING
MAILING ADDRESS No. TYPE OF FIXTURE OR ITEM FEE
4116 R Avenue
CITY TELEPHONE NUMBER Water Closet S
Anacortes, WA 98221 . 9 i- Bathtub
NAME Lavatory
Shower
ADDRESS Kitchen Sink
Dishwasher
CITY TELEPHONE NUMBER Laundry Tray
Clothes Washer
NAME Water Heater
Pacific Rim guilders Urinal
ADDRESS Drinking Fountain
1 542 Hwy ?(' Floor Sink or Drain -�
CITY TELEPHONE NUMBER Slop Sink
v Anacortes, WA 98221 293--3731 Water Piping
STATE LICENSE NUMBER CITY LICENSE NUMBER
PACIFRB1IRL
OtResidential 0 Non-Residential PERMIT S
❑ New ❑Add ❑Alter ❑ Repair TOTAL FEE $
OtBuilding 0 Plumbing 0 Mechanical MECHANICAL
❑ Sign 0 Demolition 0 Other 0 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 S
Refrigeration Unit— HP
Boiler— HP
Forced Air System— BTU/KW
Describe Work Floor Furnace
Remodel _Wall Heater
Unit Heater
Clothes Dryer
Occupancy Use Ventilation Fan
OcSingle Family Residence ❑ 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 corn- PERMIT S
menced within 180 days from the date of permit issuance,or if the building TOTAL FEE S
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 16 , 700.00 $ 1:'_i
property for which this permit is issued or am an authorized represen- 0(/
tative of the owner. Plan Check 0,
All provisions of laws and ordinances governing this type of work will Plumbing
be complied with whether specified herein or not,including routine calls Mechanical
for inspections. Sign
Demolition
^ '','^ ,/%r'- - , ,.... Energy Surcharge
Signature of Owner or Authorized Agent (Date) State Surcharge 4 . f,
Street Setback Side d Setback Rear Setback Other
Yard Yard
TOTAL $ 127 51)
use zone occupancy Group Type or Cone. Conditions: .
Lot Area Vacant Sne Dwelling Units .i
❑yes ❑No
Fire Sprinklers Required No.or Stories Bedrooms Occupant Load
❑Yes ❑No
Sze or Bldg. Plans Checked By
WEIN SIGNED AND DATED BELOW,THIS IS TOUR PERMIT
Permission is hereby given to do the above desmbd work,according to the condition'
hereon and according to the approved plan and sped6ntioos pertaining therto,subject to
compliance with the ordinances of the CITY OF ANACORTES.
Permit Issued By
Building Official (Date)
Edwin Fl and 9830
PERMIT i
. CITY OF ANACORTES
BLDG. 0 PLUMBING ❑ MECHANICAL IZ .
PERMIT ,\::
p:'TaI6os.2Q3d173 - ,��pp
" ANACORTES, WASH. DATE i t- - 1yI'7
I'pERMISSION IS HEREBY_GRANTEP TO: A 1[OWNER (I , eq. . VIA...cf•4+ u )
stigt ADDRESS J I I (� '� A.-�.L.4 4
LOCATION WHERE WWORK TO BE DONE
: CONTRACTOR CA�414.4..R. t _ ,t
TO E ECT- ❑ INSTALL I OR REPAIR ❑ 1
NN Q 1 .L c0 -r--0 4 t; y yr
L �I JFel Lu v C le t 'i V t/ A t i `7r _
1
1
PERMIT EXPIRES ONE YEAR FROM DATE ISSUED -i
WERE NOT n.
PLANSEl FOR CONSTRUCTION WERE
1 SUBMITTED
WORK TO BE DONE BY OWNER 0 CONTRACTOR
C RECEIPT OF FEES IS ACKNOWLEDGED AS FOLLOWS:
y APPROXIMATE VALUE
TYPE OF WORK PERMIT FEES
1 ISSUING /0 CO
BUILDING
E GAS PIPING
1 PLUMBING AND W.S.
p . SEWER CONNECTION INSPP/..�
i • MECHANICAC}IZ& 0-Y(Q SJJJQ a t 000 5 ex)
I PLAN CHECK FEE
MISC.
TOTAL II 0 0 GCl / 5* er6
LEGAL DESCRIPTION
L
CITY INS CTOR
9830 4116 R Avenue 6-15-92 Mr. & Mrs. Brooks Pacific Rim Builders VN R3
Addition to Residence
-2 3-9ta ET-6 £- RM U OK
. - 2 �PArc=^ dtic
7 -i4 -92 -- - nekri- ioN OK
c5 - -9) 7, Jr -04