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HomeMy WebLinkAboutPermit File BLD-2019-0512 1209 11th Street 4 _ City of Anacortes Invoice/Permit#: BLD-2019-0512 904 6th Street Applied date: 08/05/2019 `""�" ►' P.O.Box 547 Issue date: 08/05/2019 K 0: Anacortes, WA 98221-0547 Expire date: 01/31/2021 t_, : Job Address: 1209 11TH ST Permit Type: Mechanical Permit ANACORTES WA 98221-1934 Project: APN: P55422 Remarks: Replace natural gas furnace and air conditioner. Owner: REILLY ANNE L Contractor: BARRON HEATING &A C Address: 1209 11TH ST Address: 5100 PACIFIC HWY ANACORTES WA 98221-1934 FERNDALE WA 98248-9080 Phone: Phone: (800) 328-7774 License#: General Information: Fees: # Forced Air Furnace<=100k 1 Mechanical Permit Fees 48.95 #of Air Conditioning Units 1 Total Calculated: 48.95 Deposits/Receipts: 0.00 Total Due: 48.95 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-2019-0512 - 2019 019317-0021 Carla Br... 08/14/2019 03:17PM 10788 - BARRON HEATING &A C BLD-2019-0512 Mechanical Permit Payment Amount: 48.95 Transaction Amount: 48.95 CHECK: 089542 - o - I r j AUG 0 5 2019 CITY OF ANACOR1ES y o PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT PLUMBING & MECF IANICAL PERMIT APPLICATION \,:e/trzo. Mailing Address:P.O.Box 547,Anacortes, WA 98221 c.(76 Office Location: 904 6t13 Street,Anacortes WA 98821 �' _. Phone: (360)293-1901 PLEASE REFER TO THE PLUMBING&MECHANICAL PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS PROJECT ADDRESS(Street,Suite#): PARCEL(S)#: PROJECT VALUATION: 1209 11th Street P55422 $11,942 Subdivision/Lot#: RESIDENTIAL El COMMERCIAL ❑ APPLICANT: Phone: Barron Heating 360-676-1131 Address(Street,City,State,Zip): Email Address: 5100 Pacific Highway Suite 103,Ferndale,WA 98248 amandaa@barronheating.com PROPERTY OWNER: Phone: Anne Reilly 360-293-6313 Address(Street,City,State,Zip): Email Address: 1209 11th Street,Anacortes,WA 98221 N/A CONTACT PERSON: Phone: Barron Heating 360-676-1131 Address(Street,City,State,Zip): Email Address: 5100 Pacific Highway Suite 103,Ferndale,WA 98248 amandaa@barronheating.com CONTRACTOR:* Phone: Barron Heating 360-676-1131 Address(Street,City,State,Zip): Email Address: 5100 Pacific Highway Suite 103,Ferndale,WA 98248 amandaa@barronheating.com Mil Contractors&subcontractors must have a valid City of Professional License#: 10/2Exp 202Dat0: Anacortes business license prior to doing work in the City. BA sines 79D7 Exp. 20 to Contact the Cr >'s Finance De artment at(360)299-1968. Business License#: Exp. .� p 600-092-564 03/31/2020 Is this work,associated with another project? Yes D No El If yes,specify: PROPOSED WORK: Replace natural gas furnace and air conditioner. 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 City of Anacortes. Print Name: Amanda Allison // Owner 0 Agent IN(specify): Barron Heating Signature: �Zay?�t-�4v % '� �-ter���o Date: 08/05/2019 t I • '( , • O 1��'ii srrW•t G - •il''i%S:il' tV?: lCl I ',If. " ' ��it:.,J ' rr({ flll �t 'y.t..! ,• J, LI •i 'i IlejfirJ .� ltt /t'r( ' •'1t ,r��� trt Ile:' l t •� A 4rJ� ! III :t r 1(1 :i� e'1 en4 i'l. ����� I 1 I iI,♦ I. ) sat (k•r.(` .\.1, .:16r,, �t �i,,, 1 t • FEy„. I; I I ti . 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