Loading...
HomeMy WebLinkAboutPermit File 4710 Yorkshire Drive 0728204-1 0002 10/09/2007 002 4 Permit Fees 007717 $304.50 City of Anacortes Permit#: BLD-2007-0717 904 6th Street Issue date: 10/09/2007 P.O.Box 547 Expire date: 10/08/2008 CO: Anacortes, WA 98221-0547 !J��0rj (360) 293-1901 Job Address: 4710 YORKSHIRE DR Permit Type: Single Family Residence Permit ANACORTES WA 98221-3140 Project: APN: P59462 Remarks: Replace existing mobile home with new. Owner: STANLEY COPE Contractor: Address: 2605 VIEW PL Address: ANACORTES WA 98221-3135 Phone: (360)420-6295 Phone: License#: General Information: Fees: Building Permit Fee 250.00 Sewer Inspection Fee 50.00 State Building Code Fee 4.50 Total Calculated: 304.50 Deposits/Receipts: 0.00 Total Due: 304.50 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 SAWS 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 ��g laA 4. SI E OF OWNER R AUTHO ZED AGENT '/ ISSUED BY qr o Residential Building Permit Application Building Department 'mac': P.O. Box 547 Anacortes,WA 98221 maa a� Phone No.:360-293-1901 FAX: 360.293.1938 SITE ADDRESS: i-17 /6 )/ork.flyiP>;., AA/AC4rtes-2 WA Crt,2-..9tl CONTRACTOR/ 0 Applicant PROJECT DESCRIPTION y ^ Name �?�7./� L '✓I,_'R�.,rO" fpc1, i—ae /sf Oldtf C{ kei Ac fr1 'j hit Address ✓1 j(i A tic�i b t-r frv, Eke , r`f f-}d M C-: City/State/Zip Phone FAX State License# Eap PARCEL NUMBER City of Anacortes License PROPERTY OWNER2 Applicant LEGAL DESCRIPTION Name nPhi) f2`< J 1r kJ Address a- Q 1 d-w r i-Ac-z- city/state/Zip G 0 N 1 e.Sf lo f t q.0a-1 PROJECT VALUATION Phone5M) 4 6111,5-FAX Number of Dwelling Units / E-Mail Address5,/_,�/,1:iL Z/'h, fit+ Number of Stories i __ JJ Building Area: 0 Architect 0 Designerr0 Engineer Qepplicant P'Floor s.f. 2v"Floor s.f. Name 9 -6 AT C /1 c 3th Floor s.f. Basement s.f. Address a-(kG' c 1!rf //' P L' Garage s.f. Carport s.f. City/State/Zip ASK&Coo a6 °"-, Deck s.f. Lot Area s.f. Phone. 0 (1 ) 141 rFAX E-mail Address CONTACT f ❑Applicant LENDER . � `Op [.ENDER INFORMATION MUST BE PROVIDED FOR PROJECTS OVER$5,000 Namej1A, 65/,�� ,r IN VALUATION PER RCW. Address ,2-66 ,l Yt 4-1`1 / "' Name CitylSt « fig ate/Zip l✓0.. " / Address Phone%° 7 2-0 JyrFAX City/State/Zip E-mail Address Phone No. , CONTINUED ON THE BACK Residential Mechanical Fixtures Fuel Type ❑ Natural Gas 0 Electric 0 Wood 0 Propane Gas 0 Other Type of Equipment Number of Type of Equipment Number of Fixtures Fixtures Furnace<=100K BTU ) Clothes Dryer Boilers/AC/Heat Pump 0 Gas Water Heater Gas Outlets . U Gas Fireplace Ventilation Fans / Fireplace Insert Stove,Appliance t Other Units Range Hood i Residential Plumbing Fixtures Type of Fixture Number of Type of Fixture Number of Fixtures Fixtures Toilet i Clothes Washer Bathtub i Electric Water Heater Shower f Utility Sink Dishwasher I Hose Bibb Hand Sink 1 Water Piping Kitchen Sink w/Disposal 0 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 PROPER LICENSE 142�G y,far I a ac, L,7 APP ANT'S SITU DATE Last Updated 11-29-05 p:.;�".i t --,t°wa c.,nwn tied 4, Coanpilenee to y S'.;niile• Bench GEut: Cl:L-< ' ' only. Property �b n'',;er is solely res.:J r for n!l engineer- :ac!^ccin;,iiarr,,ann;. •px:r`.v bouNft„ ' V -(1 �t,?i,iewe.i i :?ev:,-. Veci As. '•''-.• 2 t AC Mernb �; 53 - -,AV ,-s1wihb.. �p it. AC Membelr C:. � • _� _ .«.. } .. a j � ioninn esa idisinsinises _ h %t : rill:::::ar sim ■orrr.•i r ■no Ian - 00000U %A IC an 'Q Mir - 0000 ef, §aS �" .`_,:�! 0 4401 ;::E::::.aq a lalliil — - - I fitimpititisTri l_refirii,"3._) is SAr4 1 n ISC«> C.`�i ::� •i ' � Orr �� \ % k -_ \ n ■r iAo�vis 0000000 CalLtlitint P y n 0 oz. l__2 \ \ D .1' , \ e m= off_ ' - i1 ri 1 % i -4 F ` ; ' t ,,�c3 �y s 1 i 'a i cC^i.v Ca v ` _ _ SL. �' Cl L i ni Sk � 710 pRi.<5H I R ��Fv � ,on1 s These plans have been reviewed b w ,O chitertural Committee for compliance. lo SSC G't;. g..- -1 r . „.. Club ^C&R'• s only. Property I kee:y responstbie for all en er- t mn;:ar,:n and property boundaries. 9 'eviewed As Noted BUILDINGS SHALL NOT r„ EXCEED 14 FT.FROM ' HIGHESTPOINTOFLOT �_ °/ Bata ; 1 Top of I{o0Sr; °ota I T--7 OPT WINDOW TGON RIM OW 20'FULL DOAII�R—, �_ SEE J-3_q _ _.e.... iv 7 r( -sr 1r�I' �1V� WO 1 / '7Ir • III I I / V I t---- 90 =—' ToP p>' o D; — - �W�NNoow TRW cauuN�� ^`-HMDIPAHFL J-33-CP J-23J �HAADPLAAN I r(o It ,Q 4' 'C f j LAP MIND k DOOR 90F o P or 1,..x.,Co ncteerif 1 1' .� � � Skr�Cf vv wLL�S�J ERRwLsz°gCtS(-2) 1✓E n�e c( u$rr 6 IQ if lit .— Ai 1szoNS K P J S Vitt r I . so. a ��� I Y; .,y . 7P.1 1w r�HSPL [F>aREi3fit el 1 66 !'g,nF'r3dntriliF W h1C I 26 666 X 6 1 �p1�dl�IEVIE I Z�II[ ' boftamMriO it It R ERE s6U e e b,• •A' 7 0- [ : 6amoi/M/moo coat eoxa 1 886 E f I •A :746.. k. r,' lip. � :i a _p• y _ 168 686 BOX LENGTH DESCRIPTION DRAWING NCThWETt -<„ 171 636 '`" ^' 181 528 I SPECIAL EXTERIOR FOR J-275-0 i-tn----_itvrkb*vf'& etertI I f_ Ivf f m 4 a �1 , Zak' vn,.___r I , I- r.s have been reviewed t 1"-` kil `/ rkS Yc „ C 0frmlttee for compftance = � c� ( /U Y 6 �{ 3 CC&R'S onlyPropertytt 4` i n` :spcnsible for all engineerf ; -° .. ,-as.- ' c z and property boundaries ; < ,a —. f Rat sewed As Noted L.0 PVC 1ic›) „ 1 z _ • µme = lop oP' House" OPT OCTAGON WINDOW _ Nina DORMER—� T WINDOW TRIM ,_ SEE J-36-p j2,7ir xw7 � —" I -- 0CI — 3151r #� I I — II 0�. ,� 12 7�I III I � � o0 7-- _ J a TC of 6RoJNp ' N WINDOW VI COLUMN �HAROIPLANN It J-36-CP LAP SIDING C G eE/GHAROIPANEL J 233 T° or '1.- I:B.SpE ivcRETE Ili 41SKIRf WI Wait -CRAPi&SP+9Cek6.) •/ 1 / / ' if 'Ve..r1T.E o1 `."V.e.r'7, b //v f proo,t n Srre7rNG CensTe�crgp Ot -ter rg X 6 ' ce_/rl. �r^. - i L Ioi . s I h DIVISIONS K-AM 5748 4 SIT 'i Y B r EU 341 652 in 4 ADD PLANS 6714,6724,lain k SITS 14,15 215 M R mkIN E 112 344 6e3 I W8%AN 027-CT I AM SIT A13 R G 115 345 5711 N IT 4I2 M AOD RAN 8728-CT k ADO S R own in M R wows 125 355 X enG Ab RAN 6710-CT I AI III M R 131 628 812 F ADD RAN 6730-CT k WD 947 JIO I M R SAStG/11/10W °°°r t°let 149 531 E CO RAN 6720-CT I ADD SI1T 09 QS M R 91TEEr Ilr OF_1L_ 163 536 BOX T.ENOTB DFSC16PTION DRAWING NUMBER at 536 SPECIAL EXTERIOR FOR J-275-D 181 538 ci „ _1"— ; i i 1'b a..mreeloy' i s 6'477 - - 1 EThese plans have bc• •r wed by the SBC 1 a7chitectural Comm .::c for compliance to 1 'skyline Beach Club i‘,C.Virs only. Property 4 nor is solely res; r.":=.:I,;n for all engineer s•code compliance and nroperty boundaries. e L;;#3. Re le ed ie+ii '?asd•As Noted AC Menc.,<:: C":: to F AC Memt"•�r "" i 1 . ? I I y's6tes: Ls:: , . : , ____ , 1 ! I 1 1, i F - 1II i i , .1 , i lI fir` I ,+. E.:_ ,.. . __ _ :;?7, 4„ 2, Q .. -1-1,Ir,kene.P o,•e-(C runner __ ; O - I I G V t1 O I �le I 2 rebmr " O.G. C3 ?As Whi,Je\7 --y,i '„ _� O 0 p OOO!_ 3 • 3 % " �cs z 0eber' a7 co 0 4 c . a,ro,2. .1 < ---= _ :: ' -it a";n. P a.d _ 14 „ 1-41;k. 3000 (6 • c..�--c._J. ' pi!X R}sm,I"t , li ., y"dd I ' MAK5111 8 ri. 1070J -p'hicK &,r.Gtefe go,.. (I -77S7 /L'G7iO)-7 *` 3lb tr // _i- r3E•4/11l c fir Re pG-/ l a u--f.on — — — — — — 101 — — — — — _ _ _ = _ 4 rn_ci izi lee Ssn^ /c coat,cr. — — — — /1 10! _ - aER-m Grnc/ /C eLLeT /cc,L7i,ry, — — — — 32.0 _)L. V I%F o o � y „ 4i rC6a-r i D o. c 3 _ rn.b _ 4 -4tck 3coo IL cc cr a 1.../ 1 iter ry1eSA y N. IV\c)?-'t 1 3 :11s. 4 (- d i ti ' - loi • it _� • �`. i. , h U i: 4., 1' tr • Si ..rr 41111111111111111111111111111111111. i ••,....._ ; a 111 II V Zia 1 dellialia' * . O.' F Y 1 . 7 oa^'•^: '.420 P.1 --� ! 'w ✓—"`yuvll•�"�aNru� c , �l �Na '�"� Y Sty \Y S� �.iy4f; : ia . ,^--. -6{ 9 � `P " Cq lif>..4.,-^\ ir ') q itu , rli 1. i i r : OSCOAMMLEINIOTI�;TRADE ECONOMICTON DEVELOPMENT j ` Ili r�>✓_ � ..�,� �,k,_,}fir' DEPARTMENT «' :1i iPoi ,,;id-9 OFFICE OF MANUFACTURED HOUSING V,, j. �=A" V I I The person named hereon has met the requirements and h' i=_, \Q'') Ty ^.E.. �,i _ is certified,as provided by law,as a ( i;,; Manufactured Home Installer ' ,- , � �JAMESWISE ' - -c,•; !I ' _ isY«)- a - Number Issued Date Expiration Date ��# Wl-t-,4_01 diti4f 1 TC :i _ Manager,rechnica setvicessecton WAINS 0616 5/23/2007 6/30/2010 L..,,, , ,, sib .V'' r^�) -. �^'i` '\ % VA.a ' IU-w a ^i ''ri'`r, z :' á-i�Nh II\\�. , �11M1y !I `FC- Tr'iln 4119v �, S71, m � 1 . �m •v' ! �+` t-2„i r-L,c „): Y Kc.-'a �`. r,< y)y`` rxE, i : 'a 2'€ - §\' `ice ) `rb i •,:..` 1 i N_ hh-y.W' 4 � itJ e a1/ Ai- La �1 fit, CITY OF ANACORTES "AS-BUILT" r Sewer lyac 1' or J at- O storm ok b( jick- 'NTRACTOR: S-S'Ca`1� CcS PLAT/DIVISION: ( l� -B � l- btiAG LIP, LOT ADDRESS: L� 1 1 Cb - T O R K cA4 I Qc r Ke) DATE: cl 3 y O� 1 PERMIT# SCALE Aie -F�,+> a,c j s STREET iks [Lel Qoc�, t LOCATE STREET(S)O1*GRID MAP LOT 67, SLYLINE NO. 6 7 to f0vksIi. CORNER VERIFICATION AND RESTAKE JOB 07-184 1 0 NJ LOT 68 N o O N N gp•46'26,� E N 20 20 C 6 FOUND NEWMAN REBAR AND CAP i� N O O {� ) 0 t 81.67 FT I- N 0 o b LOT 67 N N1 tel. cc II IIII 70 I N 1in^') 1:0 II II II CC --Iro U) SET REBAR AND = CAP "PEM 25971" X) (TYP. iTl 80.00 FT N 83'51'33" E (RADIAL) c TRACT "C" R < y LOT 66 2p_00 FT SCALE 1"=20' 0CS 80'OS'2p" W ( 0 RADIAL) ` MeniiMigni 10 20 Q O**enent"� °j'4i \4 t. \, E MMp i ? :ice ' �' - ♦ IF o • . k ) z. . ♦ % .. 'S 71REpr Je ri ShTE.... Q �w r f �• �6' AL L A0 5**** �� r. PIKES 06 04 09 A SCHEMMER ENGINEERING INC. '�►.:.,,..,,............•• 317 COMMERCIAL AVENUE, SUITE 101 ANACORTES, WA 98221 (360) 293-9006 DATE: 9/2, > G' 7 Public Works Engineering and Development Services Residential Inspection Address: ti - `[o1 g.l-S k_ii rt Date: Fly Owner. 1 Yk'(6 C.b Contractor: Inspected by: `",�mac, `si t 1. Water Meter Sox i3 Set firm and level to finished grade or backside of sidewalk elevation. • Lid and box undamaged. - a Water meter and customer shutoff installed. Tr No debris. [f' Accessible—no landscape obstruction. Driveway installation has drive-over box and lid. ,ja Customer gate valve intact fa" No leaks at connections_ ' 2. Curb and Gutter ❑ No cracks, damage, graffiti, footprints, finishing blemishes, or other objectionable marks. If road frontage improvements: ❑ Expansion joints every 15 feet and at driveways. ❑ Concrete has broom finish. No low spot at curb line, especially at driveway cut. Maximum grade change in 20 feet is 'A inch_ qA 3. Sidewalk ❑ No cracks, damage,. graffiti, footprints, finishing blemishes, or other objectionable marks. ' ❑ ADA compliant— 1 percent slope to curb. If road frontage improvements: ❑ Expansion joints every 15 feet and at driveways. ❑ Concrete has broom finish ' ,AIh 4. Driveway Approaches No cracks, damage, graffiti, footprints, finishing blemishes, or other objectionable 11 marks. 0 ADA compliant. • Si14 1st Streets ❑ No cracks, blemishes. - If road or alley improvements: . • _ • - ' ❑ Received-proctor and sieve analysis of ballast, crushed rock, and asphalt. ❑ Received passing materials testing reports for sub-grade,.ballast, crushed rock, and asphalt. - ❑ Received tonnage tickets consistent with required thickness-per approved_ . plans. - • 6. Sanitary Sewer .® Inspection card signed off and/or verified in Building Department database.. ( j, As-built record filed in the address file. tewa.otgse ,.�to'?Q.t ititt eras st v l0 r ti,ax2t"'kil - ❑ Screw cap(s).installed on clean-out(s). ❑ Clean-out(s)set at finished grade. • 7. Storm Drainage - Z1. Inspection card signed off and/or verified in Building Department database_ 154 As-built record filed in address file. Not blocked or diverted to adjacent parcel. A3,11, 8. Public Utilities Out of Traveled Way IIIwv ❑ Concrete collars around.City utilities. • 0 Final grading ok. _ - ❑ Restored to prior condition or better. 9. Landscape 1 0 �E 'sm�� \ 0r ,0, ❑ Bonded for completion at later date. P Verified against approved landscape plan: ❑ Installation. ❑ Type and quantity of plants. . ❑ Sod or.seed in place. - ❑. Root barrier(receipt filed). v1/4) � 10. Erosion Control Measures . " ❑ BMPs removed. ❑ All debris removed. Site dean. 0 Permanent vegetation established. y \1 ! `�► CITY OF ANACORTES WASHINGTON j �Opq�" BUILDING DEPARTMENT ''I CERTIFICATE OF OCCUPANCY { This is to certify that the(Description of Building or Structure): °i )pew SF Manufactured Home ) I Located At: 4710 Yorkshire Drive ( STREET&NUMBER 1 Stan Cope k Owner: Constructed By: Owner { OWNER OR CONTRACTOR IM1 S Bldg. Permit BT.D-2007-075 7 Date Issued: Oct . 5 0 2007 Occ.Group: xa Use Zone: Has Been Inspected And Occupancy Is Hereby Authorized. l 20th Fehreary OS This Day of 20 3 ° ` .. ���� 1 t�r�, 3 �ORIL�4F I� i SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS. G MIIMINSIa G .1 CITY OF ANACORTES "AS-BUILT" r Sewer $ Storm *TRACTOR: S C la`IJ C CS?a PLAT/DIVISION: 11 BLOCK `0 iTc. QAbu \ LIA 6L U'3 LOT ADDRESS: L' 1 C-i b - Q 0 2 CoC-t l Q.C.-, VA- — \1.,v A\ C \ 4+ DATE: 90V0-7 PERMIT# SCALE STREET ? GP „cc - _ �_ `2 _ '� -�. L - _ _ ..., i_, - i _-� r 0 t. - - ` �,. 4- — _ram _ 4 i - LOCATE STREET(S)ON GRID MAP %it Y © City of Anacortes Permit#: BLD-2007-0670 904 6th Street Issue date: 09/19/2007 P.O.Box 547 Anacortes, WA 98221-0547 Expire date: 11/18/2007 '�I��� �Yl�l�,4w' (360) 293-1901 Job Address: 4710 YORKSHIRE DR Permit Type: Demolition Permit ANACORTES WA 98221-3140 Project: APN: P59462 Remarks: Demolish single wide mobile home. Verify with Department of Larbor and Industries any permiting required. Owner: STANLEY COPE Contractor: Address: 2605 VIEW PL Address: ANACORTES WA 98221-3135 Phone: (360)420-6295 Phone: License#: General Information: Fees: Dwelling Units 1 Total Calculated Adjustments: Deposits/Receipts: Total Due: 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 T E PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION SIGNATURE OF WNE OR AUTHORIZED AGENT ISSUED BYE GST 'Y O . City of Anacortes Permit#: BLD-2007-0670 ; 904 6th Street Issue date: 09/19/2007 "1., _� �,�. P.O.Box 547 Expire date: 11/18/2007 ..4" '01 Anacortes, WA 98221-0547 l' (360) 293-1901 Job Address: 4710 YORKSHIRE DR Permit Type: Demolition Permit ANACORTES WA 98221-3140 Project: APN: P59462 Remarks: Demolish single wide mobile home. Verify with Department of Larbor and Industries any permiting required. Owner: STANLEY COPE Contractor: Address: 2605 VIEW PL Address: ANACORTES WA 98221-3135 Phone: (360)420-6295 Phone: License#: General Information: Fees: Dwelling Units 1 Total Calculated: Adjustments: Deposits/Receipts Total Due: 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 HE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGNA'I`t7R F OWNER OR Aly�FORRIZED AGENT ISSUED BY / I i_a (Ilic CITY OF ANACORTES DEMOLITION PERMIT APPLICATION Site Address: Li- 7 l v v SX t V a P I ikba. fl? vY�r �D °oo 143 Sf4--- 0 7 Assessors Account No.: VQ©O" Q41 Date: ! I ` Lot(s): to 7 Block Addition: f ) V 5 y (r"-- ` Owners Name: Li- Prot1°tr-ics5 iccontractorsName: come. of (I;,i,1e/ Address: 2Go Sr Vi.e-v (°1 4-frAC` ' Address: State: 1,✓2s, Zip: q i- L ( State: Zip: Phone: -1 L.u N 2 v LP a,A( S' Contractors License: Phone: Have Utilities Been Disconnected? Description of proposed demolition. Water Dept.: e, No tt i A-6ww ((pi it- fi✓+ik= t4u (i.G-l-14h` c Electric: 1t No Cable: es No Rey Ia < 6 Wtr Do`^hL` M.t( MG6- flo.P" 1 Gas: Yes No Hove`Will Materials bee disposed?f � -A L., Le A 1-" L 4 PA I/� BARRICADES TO BE PROVIDED FOR PUBLIC PROTECTION,AREA MUST BE ROPED OFF! J Applicant's o Agent's Signature ASBESTOS WARNING Breathing asbestos is hazardous to your health. Before starting a renovation or demolition project, survey for friable asbestos materials. Notify Northwest Air Pollution Authority prior to asbestos removal or containment 1600 S. 2"d Street,Mt.Vernon,WA 98273 (360) 428-1617. ,Fire Department Approval: 0 4 _A, - Date: 1-- /7 !�- ) Police Dept. Approval: Date: Public Works Department Appro nuu�jW1. m.,,Date: Comments: ADDRESS u'7/0 (1OrK fly LEGAL DESCRIPTION ASSESSORS ACCOUNT NO. c38' D2 ' bO6 -O(07-0bbp PERMIT NO. DATE DESCRIPTION DATE FINALED o31/ 3 -13-7 a x-' h oo 1�- �v c -n 1 u. ROVED All Utility Location And Depth Gate 5 to 7 x Determination is Responsibility Ye.�2� of Owner, Architect and/or Coe- Name tractor Prior to Construction, Skyline Beach Club, Inc, Name Members M SKYLINE BEACH CLUB ARCHITECTURAL• /COMMITTEE // C/ Conditions-nit/ /c /v�na,r /797 ! FT r,�;:frtl itil o a,:� // 5k�, , :,v �.,,,i' 67 D; '�, (� Ana ci..< o3i IFj. ..,, , by hi ii5o,--ii e, �i i � CIOCc3 Q17-y. (J� 0,) 7-1 wgCoe.eer JI/to r3E >,�� t 47 t ra— W I , o i ( , a ,, co i , . hi 8.1. s , c. a 4 8o_ L c 1 6 v j j i i in rr; i iv( -