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FOR INSPECTIONS CALL: CITY OF ANACORTES PERMIT 'I:41 7673
293-1901 BUILDING PERMIT
24 Hrs. NotiiceNRequesFted i , Site Address 't0I I Weal' 2nd Street
'' nct et(t.R Itusenr BUSINESS) PLUMBING
1 ce •
,..tni. w`e s nd Street. No. TYPE OF FIXTURE OR ITEM FEE
CITY TELEPHONE
E H EP ONE NUMBER Water Closet
$ 00
r,ac,c,s"tar, , WA 98221 2 �i3 57
Bathtub
IbAME I'' Lavatory . . 00
eyrnel•t. Pearson l Shower f . 00
ppDD7p�I2EgS. 1', Kitchen Sink 2 .00
+d)J ':: soth "'('reet I Dishwasher
,-,,Tv s: TELEPHONE NUMBER Laundry Tray
nun ut`t,ea,r W,A 98y., 1 293-5084 ,'Clothes Washer
NAME I Water Heater •
Owner Urinal
ADDRESS Drinking Fountain
!Floor Sink or Drain
E. CITY TELEPHONE NUMBER I I:Slop Sink n .0{)
uI I Water Piping 2 00
STATE LICENSE NUMBER CITY LICENSE NUMBER
0 Residential 0 Non-Residential PERMIT $ a O e-!
• ❑ New :ID Add 07 Alter ❑ Repair TOTAL TEE $ 1 c no
. ; ` Building 0 Plumbing Q Mechanical MECHANICAL
❑ Sign 0 Demolition 0 Other 0 GAS 0 OIL 0 ELECT. ❑,OTHER
Legal Description of Property or Tax Account Number "' ;1}vI 504 No. TYPE OF EQUIPMENT FEE
Lot Block of
Northern Pacific_ Addition •
Air Cond. Unit $
3809-504 -005-0003 Refrigeration Unit— HP
Boiler— HP
Forced Air System— BTU/KW
Describe Work , Floor Furnace
Remodel and add on to existi(3141 Wall Heater
house per approved plans. Unit Heater
Clothes Dryer
Occupancy Use - Ventilation Fan
-10 Single Family Residence 0 Multi-Family Residence _ Range Hood
❑ Office ❑ Retail 0 Storage 0 Church Air Handling Unit— CFM
❑ Restaurant ❑ Other 1 Pre-manufactured Stove or Fireplace s,
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 v . 0 0
or work authorized by such permit is suspended or abandoned at any time TOTAL FEE $ 9 1 F t)
after the work is commenced for a period of 180 days.
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TOTAL FEES VALUATION FEE
By affixing my signature, I hereby certify that I am the owner of the
property for which this permit is issued or am an authorized represen- Building : I , *00.00 $ 31 3 , G 3
. Plan Check
tative of the owner.
Plumbing � 1-1:� ` 00
All provisions of laws and ordinances governing this type of work will 1 5 • u C.:I be complied with whether specified herein or not,including routine calls Mechanical r.1 ; ,
for inspections. Sign
' Demolition
,r,-;:ti - '1- 1 Energy Surcharge - .
- Signature of Owner or Authorised Agent (Date) State Surcharge
Other •1 • 5 u
, Street Setback a _i , Side Yard Sack 10' Rear Yard Setback y M TOTAL $
pi
Conditions:-
Use Zone Occupancy Group Type of Const.
- ill, K,: , Mt
VN Variance granted for front, yard :;nt
, Lot Area Vacant site Dwelling Units back reduction to 18 . 5 feet. -
f 000 1
n tJ. l' , ❑Yes O No T=►�"� t r{�_3Y�
.` Fire Sprinklers Required No. of Stories Bedrooms Occupant Load
et
❑Yes 'ONo I 9 • ep -9t
- Size of Bldg. Plans Checked By:•
I'
a/Giy s. F. RAY
_�p�' Pav`SIGNED AND DATED BELOW,THIS IS YOUR PERMIT
- Perm' ' n is hereby given to do the above described work,according to the conditions
hereon and according to the approved plans and specifications pertaining therto,subject to -
compliance with the ordinances of the CITY OF ANACORTES.
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Permit Issued By
Building Official (Date)
-
. Edwin Frank g1C37e
PERMIT ;. l,A
RECORD OF FINDINGS AND DECISION OF BOARD OF ADJUSTMENT
DATE F 8Kdt ( , 141
APPLICANT Refer Dk$ v 40ei ADDRESS 3310( (, 7 44 ST liven-
APPLICATION NUMBER ICE _DO(
Description of application heard (variance, appeal , etc.)
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Date application filed jihtler t, Lei to
Date of hearing R113Rgibtit I t.A1w
DECISION
After review and hearing on the application in accordance with applicable
provisions of the Zoning Ordinance the Board finds that: (findings)
CCt4c o os VN twig 71-111 /R3(DB)- nAt•. Home
MCC.st' MO Ps mhIckerr iitom With ver the W
In accordance with above findings the application s grante. denied (circle one) .
In granting the application the Board prescribes th- .6 owing conditions
which must be met:
SECRET RY, BO D OF ADJUSTMENT
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ADDRESS 3)I1 ea
LEGAL DESCRIPTION ,-Len q ,c;7 $()q
ASSESSORS ACCOUNT NO. 3SCf1 -I -(Y 5 -Cinrc3
PERMIT NO. DATE DESCRIPTION DATE FINALED
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