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Permit File 3615 W6th Street
BUILDING PERMIT CITY OF ANACORTES PERMIT NO. : BLD93-0185 P.O. BOX 547 APPLIED: 05/18/93 ANACORTES, WA 98221 ISSUED: 05/18/93 (206) 293-1901 EXPIRES: 05/18/94 SITE ADDRESS: 3615 W 4TH ST ASSESSOR'S PARCEL NO. : 3809-112-013-0005 PROJECT DESCRIPTION: ADD SECOND LAYER OF COMPOSITION ROOFING. — OWNER — CONTRACTOR — LENDER KELLY BROCK 3615 W 4TH ST ANACORTES WA 98221 293-6018 TYPE OF WORK *REP AREA (sf) VALU. . . $: 1500 TYPE OF USE *SF LOT • 0 REQUIRED SETBACKS---- CENSUS CATEGORY • 555 1ST FLR • 0 FRONT • 20 ft ZONING 2ND FLR • 0 SIDE • 10 ft :RES LOW BASEMENT • 0 REAR • 20 ft OCCUPANCY GROUP GAR/CARPORT. . . : 0 REQUIRED PARKING-- :R3 OTHER • 0 TOTAL • 2 TYPE OF CONSTRUCTION HANDICAPPED: 0 : 5N NUMBER OF UNITS • 0 COMPACT • 0 OCCUPANT LOAD STORIES • 0 IMPRV SURF. : 0 sf . 0: 0: 0: 0: BUILDING HEIGHT. : 0 ft — FEES — NOTES Code Amount---- By- Date---- Receipt PRMT $ 25.00 EF 05/18/93 1199 STBC $ 4.50 EF 05/18/93 1199 TOTAL $ 29.50 I hereby acknowledge that I have read this permit and state that the above information is correct, and agree to comply with all ordinances and laws regulating activities covered by this permit. C ..---C-2644— 0.10faa CatC Issued Applicant or Owner's Signature 24 Hour Notice Required For All Inspections bld_prmt, Rev: 06/11/92 1 1 "sLw,./ CITY OF ANACORTES BLDG. ❑ PLUMBING ❑ MECHANICAL al PERMIT n4S7 Telephone 293-1901 - Anecortes,WA Date /'� �re/.% / 19461. PERMISSION IS HEREBY GRANTED TO: OWNER ,t-//, El-Mr - STREET ( /lc ADDRESS 3 4/ .S Gl.J Jj s Location where work is to be done CONTRACTOR TO ERECT ❑ INSTALL OR REPAIR ❑ IN THE ls .a EFOLLOWINGMANN§R: S/Y7' i (t .r� ,/^' i r€� n n9/e�4�� ' i+Y Y�P Ff . in S!//i L '" ! 1s'?' tY' PERMIT EXPIRES ONE YEAR FROM DATE ISSUED PLANS FOR CONSTRUCTION WERE NOT ❑ SUBMITTED WERE ❑ WORK TO BE DONE BY OWNER 0 CONTRACTOR 0 RECEIPT OF FEES IS ACKNOWLEDGED AS FOLLOWS:. �, APPROXIMATE VALUE PERMIT FEES OF WORK State Building Code Surcharge State Energy Study Surcharge E Building Plumbing and W.S. Mechanical I/r, , __ , , g i Or} Plan Check Fee TOTAL / „R 1 SO LEGAL DESCRIPTION .rs i'✓ al) �/ ' �'1/1 /2 Arc / 1)1' o/s by / .' J34 1%/f A del/,. f ' d CITY IN5ACT R I a CITY OF ANACORTES BLDG. ❑ PLUMBING ❑ MECHANICAL * PERMIT - ail ANACORTES, WASH. DATE 1 Z /C 7981 PERMISSION{�S',H�E�RE Y GRANTED TO:'*i pn OWNER w^i Ci' � 'I STREET ADDRESS (1 I �i /J T LOCATION WHERE WORK IS TO BE DONE CONTRACTOR 8"4 TO ERECT ❑ INSTALL •R REPAIR ❑ q IN THE FOLLOWING MANNER: Q • 973 a (fit AkAllejfe PERMIT EXPIRES ONE YEAR FROM DATE ISSUED PLANS FOR CONSTRUCTION WERE WNOT PA SUBMITTED ERE O WORK TO BE DONE BY OWNER .t CONTRACTOR SE RECEIPT OF FEES IS ACKNOWLEDGED AS FOLLOWS: TYPE APPROXIMATE VALUE PERMIT FEES OF WORK 4 ISSUING /D pf5 BUILDING GAS PIPING PLUMBING AND W.S. SEWER CONNECTION INSP. MECHANICAL j O Q co , 3 o O PLAN CHECK FEE MISC. • TOTAL ct 0 DO_ /5 CD LEGAL DESCRIPTIOp Ler I . o 'LLLa f L.,7.5 ill i_7.z1&M4 F 775i*f� fA iClle > cuSv-id,j a tutelim. CITY OF ANACORTES BLDG. % PLUMBING A MECHANICAL i PERMIT // ,. ' 24T3 ANACORTES, WASH. DATE .>!.!' - // 19 An I PERMISSION IS HEREBY RANTE�Dr TO: 'i OWNER PF,S'Jnn ( '.A/r _ STREET ADDRESS S ,c sJ' 6/Al K T, //'�� LOCATION WHERE WORK IS TO BE DONE �! CONTRACTOR (,�ZMACAle' TO ERECT A, INSTALL a OR REPAIR 0 IN THE FOLLOWING MANNER:7 AL;;A„...70.04Fer, s .torrte e1 . t� / „Aiwa, PERMPT PIRES ONE YEAR FROM DATE ISSUED PLANS FOR CONSTRUCTION WERE ERE JUBMITTED WORK TO BE DONE BY OWNER IX CONTRACTOR X., RECEIPT OF FEES IS ACKNOWLEDGED AS FOLLOWS: TYPE I APPROXIMATEOF W.RK VALUE I PERMIT FEES ISSUING It 2 .I al BUILDING INIMETA 45 I nAla GAS PIPING M I MI PLUMBING AND W.S. I F I a 4292 i SEWER CONNECTION INSP. —.I CC s ralIMINLI -Ill&r " '" MISC. 1.1I-1.11 TOTAL 0. d ? Ck , LEGAL DESCRIPTION f 7o .1 °"� ref W lr€{.�i�s"s� i.F`ir �tt'ss° iR CITY OF ANACORTES BUILDING DEPARTMENT CERTIFICATE OF OCCUPANCY 1\19. 899 THIS IS TO CERTIFY that the (description of building or structure): SAlletea-liatile344-&-t .g..414.4.44Aa_ Owner: Ca C.44, Street and No.: Bee 1.5--Lattei 6 411.5 Contractor: Saarlsar. Fire Zone• 4/ 4 Building Permit No.: Occ. Group: R.3 Use Zone:..R... has been inspected and occupancy is hereby authorized: 11-20 1$8/ aBui ding nspector PLO1 P\t,__ \\ sc\ - o\-\B) BH \ O us-ChM CR,P\F HU\\1\ S LEG{\ BUT \U ctCiv T V ,*I.E R\:{ 19 ,.2.0 F \\ Al L OF tU�S \\ Nt4 12 PND -ctHt ..Rv.)7: F.F, FEETUC \3\-0C-V, \\\2 , WUR7 ?PCN '};K AS)n n\A 0 -C\\E C\T`{ OF PNC\C V 'S 79' A E"s 1 SCPtE t„-an` EAVF3, tectS 1--Pagoicr ORNivwt-se tvimi, v "pa/44o O£��59' 46 is i 29 2 \$ 6 1 25 3615 VIE 57 6T" — A COVENANT NOT TO IMPOSE FUTURE LOCAL IMPROVEMENT DISTRICT The undersigned, owner (s) of the following described property: Jo Jo Fx ac107 77/E asraee . /rr. 20 c 77yE&€ oiewt A// Oic GOT& // sun /�2 'WO 77/e asTP,ev 7, 71- ,r At- L r 43, S/ori- /71 Z it/oe,WS,er/ P• /iQ?- fI'DD; for and in consideration of the granting of a building permit by the Cityof Anacortes for the construction of A. -awe., �A,vit !may , ees 1 of c.e _ -U on said property do (es) covenant and agree on behalf of themselves , their heirs, successors and assigns, to waive the right to protest the formation of a local improvement district which would finance the construction of the following improvements which are required to be made in accordance with Ordinance No. 1836; CJiPAar.) t.7 lez-�,S ,Drrt/Ai/seS- 0- 57WEF i C This agreement constitutes a covenant running with the land and shall be binding upon all parties and their heirs , successors and assigns, until said improvements listed herein are actually con- structed and the final assessment roll , if a local improvement district is utilized, has been certified to the City Treasurer for • collection, or payment. - myNI WITNESS WHEREOF I have h _reunto set my hand and seal this • day of CiCk , 198 ( } STATE OF WASHINGTON) • SS • COUNTY OF `jS-nca�t- ) ° L, r1SC� A\eg, a Nytary Public in and for the State of Washingt,pn, residing at y-A W\CC! , do hereby certify that on th • 21 day of ()C* , 198o, personally appeared before me ---�� •0,e 4'k �', ?- n\cc \CxV�,J , to me known to be the individual (s) described herein and who executed the within .instru- ment and acknowledged that L-__ signed and sealed the same as /tuO free and voluntary act and deed for the uses and purposes therein mentii�oned. GIVEN UNDER MY HAND AND OFFICIAL SEAL this tu, y of C'?ore 198D • C)(77 �-,�1 1 Y Ngqtaryic" in and for the ate pf Washingto , residing • • Lye C 4/1-4.ofrz ztCr2 ,riparitaiplie aviciApptotaneidi :se, 3f /7s- .6y . . gma�. Zeone f:: sure y ,reorder a, ,I-. _ � ` Ate"-` pikie /Sy, ecoJ / 01� .1`ervys� ncvns at , , 1 o leklb A1F Mt' Q, __� . _ ___ ; 3° r,rrr We57-4 -- ,7f'35 -- t _ _ �"' (n _so I SD 30 4- 3© $0 - . 3c._.� ._3'0 30 30 3o i 40 `° f S `t 30 30 1 „_-0 --1— -1-7._ `1i j `` F IQ I I 1 I ( i 1 I t I ♦ 1 1 ( ( pi- zz5- f 1 8 I 1 1 I v'k I Ol I 1\ II 6 I 1 1 1 1 :94, 1 i 1 1i 1 1 1 t l 1 9.2. - E, 1 1 I t I I t i 1 I la 40 3v 0 t I aO 1 30 __ 78.5 ''' _ A L Ey -- ___ r env �j ��yRES N • N jeie F7 6 c. ivrn, rehad- wie4 rye'/4w cams c T� ,oI � cfre was •;,/,. 12 #i s fs eareid o SURVEY OF LOT" 10 EXCEPT THE EASTERLY 19.20 FEET THEREOF, ALL OF LOTS °ro o OF LOT 1 BLOCK 1112, NORTHERN 11L LAK 11 AND 12, AND THE EASTERLY ? 75 FEET L 3, PACIFIC ADDITIONTO THE CITY OF ANACORTES. 1 For: Bob Bateman - Custom Cisft Homes - Account No. 80-110. BY: S . A. Newman 10/9/80.