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Permit File 4707 Yorkshire Drive
O%t Y O� City of Anacortes Permit#: BLD-2007-0868 ; 904 6th Street Issue date: 12/28/2007 ., ,,�, . P.O.Box 547 Expire date: 12/27/2008 ICO: Anacortes, WA 98221-0547 Job Address: 4707 YORKSHIRE DR Permit Type: Mobile Home Real Property ANACORTES WA 98221-3139 Project: APN: P59415 Remarks: Title elimination Owner: S&J PROPERTIES LLC Contractor: Address: 2605 VIEW PL Address: ANACORTES WA 98221-3135 Phone: Phone: License#: General Information: Fees: Application Notes 1 Mobile Home Conversion Fee 25.00 Total Calculated: 25.00 Deposits/Receipts: 0.00 Total Due: 25.00 T C. ti Ld Ot CD C:? is m .- t V! CCD ‘tD O Cocc! u, .-. F: rJ rC! N) CO 01 --.. c! r_ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IFS! n CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED I° -4 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL c PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR •- NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION s' ✓` i SIGNATURE OF OWNER R AUTHOR' AGENT ISSUED Y RETURN ADDRESS /j 791 "Ar`°`"`{`"`"°'°" MANUFACTURED HOME PLEASE CHECK ON APPLICATION (TITLE ELIMINATION Licensing V TRANSFER IN LOCATION V REMOVAL FROM REAL PROPERTY Anyone who knowingly makes a false statement of a material fact is guilty of a felony,and upon conviction may be punished by a fine,imprisonment,or both. (RCW 46.12.210) ® MANUFACTURED HOME TPO/PLATE NUMBER YEAR MAKE LENGTH VEHICLE IDENTIFICATION NUMBER(VEN) 2008 Skyline (FEET) 2F91-0205-W AB 28 x 44 LAND LEGAL DESCRIPTION ON PAGE MANUFACTURED HOME WILL BE X AFFIXED REMOVED REAL PROPERTY TAX PARCEL NUMBER P59415,3822-000-025-0001 ® GRANTOR(S)REGISTERED/LEGAL OWNER(S) ADDITIONAL NAMES ON PAGE COUNTY NUMBER NUMBER OF REGISTERED OWNERS NUMBER OF LEGAL OWNERS one one NAME OF REGISTERED OWNER S & J Properties, LLC NAME OF ADDITIONAL REGISTERED OWNER ADDRESS CITY STATE ZIP CODE 2605 View Place Anacortes WA 98221 NAME OF LEGAL OWNER S & J Properties, LLC NAME OF ADDITIONAL LEGAL OWNER ADDRESS CITY STATE ZIP CODE 2605 View Place Anacortes WA 98221 GRANTEE NAME Greg Bean and Howard Bean I F SOLEMNLY ATTEST UNDERPENALTY OF PERJURY THAT 1/wE AAllARE THE REGI$T�RED g� R(S)OFTHISVEHICLEAND THIS INFORMATION IS ACCURATE: c/Yh (�/7 G/,"1-` Signature of Registered Owner and Title,IF APPLICABL52fE d / ` Signature of Additional Registered Owner and Title,IF APPLICABLE 666 U NOTARY SEAL OR STAMP NOTARIZATION/CERTIFICATION State of Washington Signed or attested "wI }fn 47�'4', County of Skagit before me on 12 28/07 \ ` 1)\-rain� by Stanley D. Cope Signature- ".�`� .r,". Printed Name of Registered Owner NOTARY OR AGENT,iTn ,, by v \C\C1 ""L• Printed Name of Registered Owner PRINTED NAME OF NOTARY a,`..F County/Office No.OR AND: Dealer No. OR Title Notary Notary Expiration Date 10/8/09 DEALERSHIP POSITION/AGENT/NOTARY el TITLE COMPANY CERTIFICATION I certify that the legal description of the land and ownership is true and correct per the real property records. NAME(TYPED OR PRINTED) TITLE COMPANY/PHONE NUMBER Guardian Northwest Title & Escrow (360) 293-5423 S GN TURE/POSITI•N DATE �. LPo December 28, 2007 Finalize this application a Licensing Agent within 10 calendar days of the date Title Company Representative signs. a BUILDING PERMIT OFFICE CERTIFICATION I certify that: x the manufactured home has been affixed to the real property as described. A building permit has been issued for this purpose and the attachment will be inspected upon completion. NAME(TYPED OR PRINTED).D) BLDG PERMIT OFFICE/PHONE 4 BLDG PERMIT 4 , ED/cemd fkial./K 3/� a9 -i'o / 7-06r`-- SIGNATURE/POSITION DATE 3 l4 0i�, Ctid C 7a/5)// TD-420-729 MANUF HOME APPL(R/8/98)OR Page 1 of 2 y � c,,� o,,, CITY OF ANACORTES WASHINGTON coa'� BUILDING DEPARTMENT CERTIFICATE OF OCCUPANCY This is to certify that the(Description of Building or Structure): Manufactured Home Located At: 4707 Yorkshire STREET&NUMBER Owner: Stanley Cope Constructed By: Stanley Cope OWNER OR CONTRACTOR Bldg. Permit#: BLD-2007-0618 Date Issued: August 31 , 2007 Occ. Group: IR1/MH Use Zone: R2—PUD Has Been Inspected And Occupancy Is Hereby Authorized. This 5th Day of DecemhP 2007 UTRORRING OFFICIAL SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS. a\ z ' o CITY OF ANACORTES WASHINGTON BUILDING DEPARTMENT C OPt" CERTIFICATE OF OCCUPANCY This is to certify that the(Description of Building or Structure): SFR Manufactured Home Located At: 4707 Yorkshire Drive STREET&NUMBER Owner: Stan Cope Constructed By: OWNER OR CONTRACTOR Bldg. Permit#: g BLD-2007-067 S Date Issued: August 31 , 2007 Occ.Group: R3 Use Zone: R2 Has Been Inspected And Occupancy Is Hereby Authorized. This ]3Th Day of December 20 C7 I4 S AUrH RILNG OF W. SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS. • Final Inspection Checklist A 15(2 -` j Site Address: If 7 07 t a t A `J % ire Permit No.: 0.7 — 0 (7 3 1 /� /i9�fa �u<Tv✓p� Date Issued: / 3 r/L� 7 Zoning: P�i Occ. Group: /C 3 Constr. Type: /loon e Owners Name: $ 7a h Cop -e Owners Mailing Address: 2 i 0 ; V 1( eat P/Qe-e State: iltA Zip: Ahc, tci ¢rs Variances: No Yes ss: o -- Sewer Fee Paid: No Yes Hand Rails: No Yes Sewer Inspected: No Yes _.Guard-Resits: No Yes . o es -- : No-- Yes Attie-Acr SS --No- Yes" Wuu&Stutt. No Yes 7Vo - Yes Water Pressure: No Yes 1/ T&P Drains: No Yes '� House Numbers: No Yes 2// nsulatio 'Cer+ Ne Yes— Site Drainage: No Yes Z - 1 criro Cut r. 1e.� -_, • Crawlspace Insul• No Yes Y -Bedroom--Windows; No --Yes o es Vapor Sarre Y6, Yes Water Meter Box: No Yes o es Exterior Decks/Landings: No Yes (,/ - Outside Caulking: No Yes ll No Yes Inspected By: l "` a / Crawl Space Access: No Yes 17/ Date: / 271 5/0 7 Exh. Duct/Dryer Vent Dampers: No Yes 1 ,.,1-, r 1_ cr:TrP.77, , --.::-.7:. ..,, r • ..., _. .-,.-1 L‘C rj 'A,7 :t.'r;132-rj 14:Ci, ';'I:"Aft '' 4[1?) 't,..;5 '''' .1-o ',I C----7/ /1 I') -7 -.1. 1)..k.--1/_—_.°4-4-;`-,/— C CI/OP- ...-----.. ; % -7 e--, _ / _ --C. / 4(c-'--- -<-5--47"-ALt' { '. 4/ . s ' 0 ---.. AP PRC.314 Ll.i.r.'; tt7 c21414-<- -7., 4-- t". •- ' 11 \ 7C -. ,d .._ \ \ ";,'1. - ' r " - 1 • eV? 1 . . . --'. 1 . ‘., i , -----. 9 i 1-\ -,t• . \ , ,4-....A-- ••• • 4- •3.‘ , t 4.t.k.A.N\j-k11.1‘N.4..‘r.tat110‘3,\_ :11 - - z..,11,31M-S i f`' 3/1 V 11\ , S,..t. \\,•"" T$ it,"11 Sr 4 V 1,113, %,_ i ..,... , / d / - . ea° , \ - 'nittittitlitinisti Ili 01-7) f At„,..ttf,Aatiattn, , . a vs t II tits stittiti3 1:1 troliket 4:,lig?41 I:....-..I 1. Len 1411114011110nria lig IL*. II.1:11 Otsekte*Ott014101, tilt 1111WW**;*.‘4 • -00,..,,...***********. .., , ,--- k• 4--, 0..-4, -N, . IA.\-- why * 4.•_•: ,. \ #1 -.. I . a as-P 0) , \ , . N -- Clo a>1 _ , 1 C fang\akfrn %Ct•Pe- IP . S •42.3).2 ___ pc'eva 0...* .,s• /7 111. _ .t.tve ..cd\ . \nordrtsr. $ ‘I) 4 ] e/ ,,,\ , * 4 c,cr,oceas s9w et, lc__ ) fIlla i„\D . ii..:\a-srcie-r,k ; AI / .1, k illa C)I eit • . /I� / CL{/�-Ef2 / A L� C'Y7ST r UG7/G7 yy` 6 „ =+ A 3A n — — 1 �E./l/4 c�r+d ^�pG.,./ /JL«7.on _ — — II r 101 ' t- 4 n G��e� /c , Gwr foe�'��e7-i — 27 6 ' — — - PEA'n a-ral ge i_r �o c-c, err,'r 1- — — — 1\ 101— S - /SEA-.rr L✓Y1C/ R e b cv/_ /OGLi T/;in '1 — — — — — — — 32" Ji \/ 0 yu 414 r i D " 2 z re6 ro '' o .c - 3 Pn.r� _ ha 3000 I ` bgr mesh _257t0r 7 cty e .c Pi/ - 0 lc ci3i1 !/�J cJ //��S /O GLr�*�Yit-C Cf7', IL f S76-S �iLLL`!h LC:O rut (C- Gv'-/it-L rci�/ o-n t G/G y7 C,iC. Jtid�c�-fp �OJ.r/ dZe— s2_, �r'L c;�`e.Y C�G�c.s-� tz-7-7e tic-1Jc%7-- !'cam y—/w° Jul 05 07 12:42p p-1 �. i ry cAlt.Z'X} yp.wS q y 47t > , k 1 . 4� 41:>� yH`✓;it�:;r„ '^xc� t 4��Nu rtl ,ah 1\ u/ e« ( N / e H r// � \H iry -C to ° r iq s nimmm� 1 / �iet ip.�TtLmI c-, , "� A,j STATE OF WASHINGTON `./'4"N' 4. // a III A i,lr�i.x_t;1 (1I __'' \ • D ' DEPARTMENT OF COMM[NITY,TRADE AND ECONOMIC DEVELOPMENT '- ���/�1 OFFICE OF MANUFACTURED HOUSING �' ij } & ,\1 I The person named hereon has met the requirements and let - r'-.` is certified, as provided by law,as a .: d 9 `K iJv.31 �� Manufactured Home Installer ' `i� i _* JAMES WISE ,;,r- 514, `q Number Issued Date Expiration Date t*-d'_;;�-a ' ;X. /"1= r WAINS 0616 5/23/2007 6/30/2010gisi 'D.-11 , Manager,Technical Services Section ,,,,_ , ,,_,,,a,„ •, ,,,t..,, . y:: ..,.e,:-.), -...„/,--,.-,‹ -„ ,„,v ,„_-6"--- a--rr"' -''.. ---zCies-ri -' --' 1---'---'---k-,4/g- '4: '‘;--4",4/itr i; -----A, t ...4 - 1 sX37.111.! ' `e t ' I ipto, /O,I m1� h I14 VI 'vfib? nAA I'"'{t�c�gi �u�,-1}j�.T,,•..'..,14 I0 ..,,e r.-a z A�� p ,1.Lv 2,1:14 ,4 r dill; e7arro `1U''' i 11 .. rr.t' 4., i ri ` ,v „.„n ::.. }Q �� i$,.•fr a""*e .t i �;kiii\� ^" i HetSat Sans heve!faun! for coctillrbtanuieflV These P turai Gumm &R's° a � lneer- � } prchit B°geaCh G1ub onsiUte tondvs1es•f!f1 PvS pkw�ier is soiel" B end prope • �i: _ an in9:code comp ('� evlewed As N]ted tQ r u @ ��� h t IiReviewed VR `Z'/aJ e� lit ita Oe rvi vY1 her ete i pC ember 1 F I!i00 1� fl1117:::30�+�' ,2� 7�t IC vnNooW ��� \ \ tii pF tttaSE OPt OVCANOdW tf�p Tripet �` \\\111, �, K n I�, �tt t4 'rf� r \\\\\\ \*`,''''' 1\\\\r\ �N36 SS (vRoJhb meat �d f �oP of G,0i,AC G JAM `.� 1 - i� �PrudLsf' 9�° girtoril L 5 .1Ar n L #°�Ffp,d";m star-cr , nn s� �, t ar 1Mt� as �t011' �' toott ill a , c rao%r , j 27`J' ®?�ok K6Tkt gPECiA1.EXTERIOR FOR P 68 pp3 A �IY���""s5�R,bt� xw•i Tp To \ 1 a u '1 1ti'� ! 1 / begs isst 300 \cn's. 10 1 C ca^�r`F�1 `here plans have been reviewed by the SBC �� r Architectural Committee for compliance to ��ppoo \oE op Skyline Beach Club CC&R's only. Property \ Nn t„ - / \, Owner is solely responsible for all engineer- ing,code compliance and property boundaries. �� �tS `G k ��� Reviewed �Reviewed As N ted' \Y rn — M ry ( em•er at ��t4 I ,�AMPS. A a \ T,. AC Member cafe i \ \ Notes: 1 �_ .. �' ` \ \\\ w / �� 4 \ i' i"i" s '" 4 --lig- _ _ _ _ _ 7-Aie:ke/ai con crefe _ Zi!J(` TA I:An dal Can ore& 'Ilion 1 — — Try.r- cO Lmncr. _ _ — _ _ _ _ 2 Q I - 2' 0 1 41, is ke ed' G6-nureic r V n p-e r These plans have been reviewed by the SEC Architectural Committee for compliance to Skyline Beach Club CC&R's only. Property 1 —N n Owner is solely responsible for all engineer- Is., e e - — ing,code compliance and property boundaries — - ii / I _' p" I a re ba-r fd " o.C . (� 3 a5 t�. Je) 'Reviewed R= sewed As Noted P C . a..' ' g/7 III As A I /07 1110r:mber/ �(1 7 Da � 5 ,, _. C—h.. AC ember Date .I, _I d o 0 0 0 oC Notes: y ,r y� on ( a rev r ‘ o G 3 pcs z dr e- du a7 'i 0 .e . grow, a-r fire. p ex 1rrieb 11 • , a P a �( = t_I "-Ail l 3 000 id . , c t2_- rn t)( - • // Runner 5 = 1I " ad A ' I Ty) a,. k ' • -�-ofotI thr6Krte SS CITY OF ANACORTES "AS—BUILT" r Sewer I aStorm NTRACTOR: '1 W IN) C Cl'PE ^ PLAT/DIVISION: K S IT t, k Jt,14.-11A�ra IA N3 LOT ADDRESS: '1-1 0-1 - 1-1l)Q.<SW IQ`v W% - `- O-SkC ,C„--- DATE: _l / 13 / O PERMIT# SCALE rj'(' - M lik-L,g - I STREET 1� T i • • ,r _ _ _ _ _ __ I - _ _ /9' \ 4 *--tl 'I {fC - LOCATE STREET(S)ONIGRID MAP 0724304-1 0002 OS/31/2007 002 8 Permit Fees 007686 $383.13 G1T Y 0 . City of Anacortes Permit#: BLD-2007-0618 904 6th Street Issue date: 08/31/2007 "itiolteei r P.O.Box 547 Expire date: 08/30/2008 VAIllaireqr'02 Anacortes, WA 98221-0547 (360) 293-1901 Job Address: 4707 YORKSHIRE DR Permit Type: Single Family Residence Permit ANACORTES WA 98221-3139 Project: APN: P59415 Remarks: Install new manufactured home per approved plans as noted Owner: STANLEY COPE Contractor: OWNER Address: 2605 VIEW PL Address: ANACORTES WA 98221-3135 Phone: (360)240-6295 Phone: License#: General Information: Fees: Use Zone R2-PUD Building Permit Fee 307.50 1st Floor Square Footage 1180 Plan Review Fee 21.13 Building Valuation 2000 State Building Code Fee 4.50 Sewer Inspection Fee 50.00 Total Calculated: 383.13 Deposits/Receipts: 0.00 Total Due: 383.13 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL E PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTR TION. s I._...A RE OF OWNER OR AUTHO ED AGENT ISSUED BYE • IiII:. i! nii..1 4! 1. Ir _f r ifi'l ill•Fch-',_ l..l.i[7CIF Imff i ,LK:T Residential Building Permit Applicatiori'yl .-..... . !�� ,st;,.. `p .= Building Department , r IN i, � ,m AUG t /GIJE IN 1 y P.O. Box 547 Anacortes, WA 98221 'tl�.ag4R IL Phone No.: 360-293-1901 FAX: 360.293.1938 ( 'I' A• �ti d, SITE ADDRESS: L/70 7 1496e5/,; ai. ,43-7«0,./L.ts, CONTRACTOR-- . . . -O Apptica,'nt ' - 40JE.CT DESRIPPT[ON, i--'- --_<`' - ` Name cantle- 45 6 l✓Jl/C4t �Veto $' 'i�.e i/ J/ �-1 /cn--.� Address - It-clif Q %ZoT4-w J 6e1' "7-- City/State/Zip Phone FAX State License# Exp rtaaicSL NV IER 0 q (./.7 City of Anacones License S -N.4QPER :EL7::':,:, 'QApplieaat, LEGAL:DESCI2IPTION __ :.:<`. de Address a&OS 17�p(/ 18 et- V /�� 9/_. City/Stayyte/Zip/ �t✓L SAY✓ �� PRO[ECT. AI UAIIQN Phone306 ` n 4 Pi C FAX )' ' T zr/occ,ca- Number of Dwelling Units E-Mail Address ..4.6 .tie ?PA_ W Number of Stories " Building Area: TO V1%Aictiijesif3 Designee. `Euiinee l]_Appiicani l"Floor t ( s.E 2nd Floor s.f. Name 3`d Floor s.f. Basement s.f. Address Garage s.f. Carport s.E City/State/Zip Deck s.E Lot Area s.f. Phone FAX E-mail Address ..�::�, "1tCaitif.'�v j=�9;1±1ll":� :F-'tire:. ,�:z=;.,: ..,.-. 1 �`����Tr��:'s:,,�«:�.::`t,�^;r::_z :� AeR...,n,:-.�; . _:;.-r� "'..�:;.>i :. .s., .,.., °`-`' a;s`'n' `��`�=n. . ;`. LENDER INFORMATION MUST BE PROVIDED FOR PROJECTS OVER$5,000 Name IN VALUATION PER RCW. Address Name City/State/Zip Address Phone FAX City/State/Zip E-mail Address Phone No. CONTINUED ON THE BACK C L9 /i 5a _ 3g-3 , i3 Residential Mechanical Fixtures Fuel Type ❑ Natural Gas Electric ❑ Wood ❑ Propane Gas ❑ Other Type of Equipment Number of Type of Equipment Number of Fixtures Fixtures Furnace<=100K BTU / Clothes Dryer Boilers/AC/Heat Pump Gas Water Heater Gas Outlets Gas Fireplace Ventilation Fans 2- Fireplace Insert Stove,Appliance / Other Units Range Hood Residential Plumbing Fixtures Type of Fixture Number of Type of Fixture Number of Fixtures Fixtures Toilet Clothes Washer Bathtub Electric Water Heater Shower Utility Sink Dishwasher Hose Bibb Hand Sink , ( Water Piping Kitchen Sink w/Disposal Additional Fixtures { I HEREBY ACKNOWLEDGE IF HAVE READ THIS PERMIT APPLICANT AND STATE THE INFORMATION IS CORRECT,AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING ACITIVIES COVERED BY THIS PERMIT APPLICATION. WITH THIS PERMIT ALL CONTRACTORS AND SUBCONTRACTORS SHALL HAVE A CURRENT WASHINGTON STATE CONTRACTORS LICENSE AND A CITY BUSINESS LICENSE.STOP WORK ORDERS WILL BE ISSUED ON JOB SITES WHERE CONTRACTORS/SUBCONTRACTORS ARE WORKING WITHOUT PROPS C NSE. I A LIC 'SSIGNA (IRE t t° DATE 3 . *�? �Y „ it- \- , Residential Building Permit Application + ';x6'` 1`1'A��-''- ' r�� 'c :`_ Building Department ` 'y nnu 6 1 tc P.O. Box 547 Anacortes, WA 98221 `4. , e 3 % 's fi l Phone No.: 360-293-1901 FAX: 360.293.1938 t� t$- ° 1 SITE ADDRESS: t/ 70 7 yo risA/,,e Q/'. /�`-77/2 c-irr/-es _. ,. : ' :'[3 Apptioitit;; AtRE1'JE.GT DESGI2INSIN ,a;' LL_'`=' - -.- , Name ___‘✓t `ez t'- - 6wveil Address - City/State/Zip Phone FAX State License# Exp PAREEE4,1. 1SER p S' Lr 1 t'1� 7 City of Anacortes License > H(PE ',VV btu- 3,Atipiicanf ; .;SI:EGAlilg$P10,0IOlY.::: r ,c-,::-> ',: :_E`. - Name Address 2-4 or ✓ ew jt City/State/rZiip -''-[ ///"116`c'd F I V'L'S, AA elf l$ 203ECT.VALIJATIQN Phone .7k J lO Ir.J 5FAX Number of/ E-Mail Address ,/ ,y- t fg }le f Number of Stories ng Units Building Area: .._._,v_.._-,._-... ..... .... -_ ry- 01:30 1.0.440 D iik,;:atiikiffe#1 4.14lic4ut is'Floor Iry s.f 2nd Floor s.f. Name 3”Floor s.f. Basement s.f. Address Garage s.f. Carport s.f. City/State/Zip Deck s.f Lot Area s.f. Phone FAX E-mail Address . av :i ':,,z, ` '::�.� = `.;lic3iit'r` �;-ZIiT�.I2^i.�S' _a-� .'%>:.-, .:.__ .x,:2' ::: ^',a ,. .r. ._..;�':�S-:::..,.riAi�.r:=';iw ._ �J. , ,____"�._.-... «�..... . ':+.- --' ..;...,.s�c`:�t��'"«.ti3" .r.6h r'c: 51i:', i LENDER INFORMATION MUST BE PROVIDED FOR PROJECTS OVER$5,000 Name IN VALUATION PER RCW. Address Name City/State/Zip Address Phone FAX City/State/Zip E-mail Address Phone No. a CONTINUED ON THE BACK Residential Mechanical Fixtures Fuel Type ❑ Natural Gas t Electric ❑ Wood ❑ Propane Gas ❑ Other Type of Equipment Number of Type of Equipment Number of Fixtures Fixtures Furnace<=100K BTU / Clothes Dryer Boilers/AC/Heat Pump Gas Water Heater Gas Outlets Gas Fireplace Ventilation Fans .. Fireplace Insert Stove,Appliance I Other Units Range Hood / Residential Plumbing Fixtures Type of Fixture Number of Type of Fixture Number of Fixtures Fixtures Toilet 3- Clothes Washer Bathtub Electric Water Heater Shower Utility Sink Dishwasher Hose Bibb Hand Sink Water Piping Kitchen Sink w/Disposal ( Additional Fixtures II I HEREBY ACKNOWLEDGE/F HAVE READ THIS PERMIT APPLICANT AND STATE THE INFORMATION IS CORRECT,AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING ACITIVIES COVERED BY THIS PERMIT APPLICATION. WITH THIS PERMIT ALL CONTRACTORS AND SUBCONTRACTORS SHALL HAVE A CURRENT WASHINGTON STATE CONTRACTORS LICENSE AND A CITY BUSINESS LICENSE. STOP WORK ORDERS WILL BE ISSUED ON JOB SITES WHERE CONTRACTORS/SUBCONTRACTORS ARE WORKING WITHOUT PROPER LI N E. ' • AP CANT'S SIGNA DATE �� T��1J� 1-4 I ADDRESS 4-f707 J-'pb-K 'l t&Q LEGAL DESCRIPTION Cot 27 l ASSESSORS ACCOUNT NO.-2-) 2. a -Ono - S -Obak PERMIT M. DATE DESCRIPTION DATE FINALED 3 I q K- u VC( -7 1, - - . 11, It • IN•M•..U..S..._I_________It_ N62°38'44"ER - 80.00 55 n / qA e /(�-NgO° 44 7Tl:- . ' 1 r 2 p.5 2 r, M30' -- Home 10'x55 o L=26o00, 0` 0 E� t A=3 1432 �� Sundec 3_ R=40' / w 0 yea A=37°14'32" \-� -,- _ R=120' f\P �'� Ay G� O 0 O c ,'11- °n V� Ceti lI-a (7 -7 -- t+eleitiLILH- ; Mel Kasbaum PREPARED FOR: p.0. Box 2 �N J, (/qO Anacortes, WA 98221 O = Iron (set) ,�ttoi w?'�i'+�f9/ SCALE: 1' 20' DRAWN BY: H.L.S. JOB NO. : 370-77 Pipe " r + vim\ DATE: APPROVED BY: J.J.V. DRAWING NO: " a 3-24-77 ©= Concrete Monument (fnd) ,e ac DESCRIPTION: y g y ,- u Lot 25, Skyline No. 6, Volume 9, Page 67, �d'Ile STEP�"P 4`y records of Skagit; County, Washington. f'ua'i< LASt JOHN J. VADAI & ASSOCIATES MERIDIAN: ' Phone: 293-7551 2701 Commercial Ave., Anacortes, Wn. Per Plat