HomeMy WebLinkAboutPermit File BLD-2019-0521 1806 39th Court ` Y C `' City of Anacortes Invoice/Permit#: BLD-2019-0521
904 6th Street
,` Applied date: 08/07/2019
P.O.Box 547 Issue date: 08/07/2019
Anacortes, WA 98221-0547 Expire date: 02/02/2021
147 (360) 293-1901
Job Address: 1806 39TH CT Permit Type: Mechanical Permit
ANACORTES WA 98221-3569 Project:
APN: P117568
Remarks: Check gas line into structure after vehicle impact. Presure test system.
Owner: HEATHER THENY Contractor: CRAFT STOVES INSTALLATIONS, IN
Address: 1806 39TH CT Address: 900 W DIVISION ST
ANACORTES WA 98221-3569 MOUNT VERNON WA 98273-3226
Phone: (360)420-6630 Phone: (360) 336-2532
License#:
General Information: Fees:
#of Gas Piping 1 Mechanical Permit Fees 28.25
Total Calculated: 28.25
Deposits/Receipts: 0.00
Total Due: 28.25
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 THE PROVISIONS OF ANY OTHER STATE OR
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
Permits and Insp... - BLD-2019-0521 - 2019
019307-0007 Erin Wil... 08/07/2019 11 :43AM
12492 - HEATHER THENY
BLD-2019-0521 Mechanical Permit
Payment Amount: 28.25
Transaction Amount: 28.25
03FIN CC: ******`****9826
. Y O� PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
cioaPLUMBING & MECHANICAL PERMIT APPLUC VION
74'
. 4' Mailing Address:P.O. Box 547,Anacortes, WA 98221
Office Location: 904 66 Street, Anacortes WA 98821
Phone: (360) 293-1901
PLEASE REFER TO THE PLUMBING&MECHANICAL PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS(Street,Suite#): cf PARCEL(S)#: PROJECT VALUATION:
Subdivision/Lot#: RESIDENTIAL COMMERCIAL 0
APPLICANT: ¢t// Phone: �`
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Address(Street,City,State,Zip): Email Address:
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PROPERTY OWNER: lle„ft �"/ Phone:
Address(Street,City,State,Zip): Email Address:
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CONTACT PERSON: //// f Phone:
Address(Street,City,State,Zip): Email Address:
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CONTRACTOR:* Phone:
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Address(Street,City,State,Zip): Email Address:
*All Contractors&subcontractors must have a valid City of Professional License#: Exp.Date:
Anacortes business license prior to doing work in the City. Business License#: Exp.Date:
Contact the City's Finance Department at(360)299-1968.
Is this work,associated with another project? Yes ❑ No 1" If yes,specify:
PROPOSED WORK: gee-ea., Gh r em C13,a 4)
I declare under penalty of perjury that the information I have provided on this form/application is true,correct,and
complete,and that I am the property owner or duly authorized agent of the property owner to submit a permit
application to the Ci of Anacortes.//
Print Name: Hest /tee /(-
he,ke Owner [ 'Agent 0 (specify):
Signature: Date: 2w