HomeMy WebLinkAboutPermit File 3901 S Avenue FOR INSPECTIONS CALL: 0 CITY OF ANACORTES 0 PERMIT No_ 8643
•293-1901 BUILDING PERMIT
24 Hrs. Notice Requested Site AddresM901 li Street
NAME (OR NAME OF BUSINESS) • PLUMBING el
cc Rnitt - S Turner. Sr .
MAILING ADDRESS Na TYPE OF FIXTURE OR ITEM FEE
1317 King Street
CITY TELEPHONE NUMBER Water Closet $
Anacortes. WA 98221 293-9088 Bathtub
NAME Lavatory
Shower -
ADDRESS Kitchen Sink
u Dishwasher
CITY TELEPHONE NUMBER Laundry Tray
Clothes Washer
NAME Water Heater
Owner Urinal
ADDRESS Drinking Fountain
Floor Sink or Drain
z CITY TELEPHONE NUMBER Slop Sink
u Water Piping
STATE LICENSE NUMBER CITY LICENSE NUMBER
❑Residential ❑ Non-Residential PERMIT $
❑ New ❑ Add ❑ Alter ❑ Repair TOTAL FEE $
❑-building ❑ Plumbing 0 Mechanical MECHANICAL
O Sign 0 Demolition 0 Other ❑ GAS ❑ OIL 0 ELECT. 0 OTHER
Legal Description r of Prose or Tax Account Number Na TYPE OF EQUIPMENT FEE
Lin 111t131°R. 7TiliZraretis Filet Air Cond. Unit $
Refrigeration Unit— HP
Boiler— HP
Forced Air System— STU/KW
DeMW tkfl Aluminum Pennys GArden Floor Furnace
Shed. Wall Heater
Unit Heater
Clothes Dryer
Octtpancy Use Ventilation Fan
❑ Single Family Residence 0 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 net nem- 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 fora period of 180 days. lit
TOTAL FEES 500.1114.4TATION t tOU
By affixing my signature, I hereby certify that I am the owner of the Building $ 0'00
property for which this permit is issued or am an authorized represen-
'tative of the owner. Plan Check
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
a� ,y��y'��/,',�':yy,.�,, e Demolition
f.+"Q,�'a' ttlie Energy Surcharge 4 . 50
Signature of Owner or Authorized Agent (Pale) State Surcharge 1.1 .fifl
Street Setback Side Yard Setback Rear Yar Setback Other
, TOTAL $
Use Zone Occupancy Group Type of Cost. Conditions:
Lot Area Vacant Site Dwelling Units
❑Yes ❑No z
Fire Sprinklers Required No.of Stories Bedrooms Occupant Load
ID Yes ❑No
Size of Bldg. Plans Checked By:
•
WHEN SIGNED AND}DAT iae,11$is Taus mum
Pernol000 is hereby alsen tootle thalami Seeel$nk,according to the emditln a ,
harem ISaeon'W.n8'to:Uei Slavedi41_I_etea a tlaua pertaining therta subject to .
compliance with the erdln r nets et the seer OF ANAdbwlEs. 03/21/91
n 1 c..l 2. ,(,i (--rO C-('
Permit Issued By
dzain Prank '' 111
Building Official (Date)
sow
PERMIT tP rHOS