HomeMy WebLinkAboutPermit File BLD-2020-0013 3917 Mallard Point Y 6- City of Anacortes Invoice/Permit#: BLD-2020-0013
904 6th Street
Applied date: 01/09/2020
P.O.Box 547
Issue date: 01/09/2020
/0;; Anacortes, WA 98221-0547
Expire date: 07/07/2021
~ (360) 293-1901
Job Address: 3917 MALLARD POINT DR Permit Type: Mechanical Permit
ANACORTES WA 98221-3656 Project:
APN: P79589
Remarks: Replace gas water heater for the same.
Owner: GEORGE&JANE STARKS Contractor: FAST WATER HEATER
Address: 3917 MALLARD POINT DR Address: 11715 N CREEK PKWY S
ANACORTES WA 98221-3656 BOTHELL WA 98011-8807
Phone: (801)706-6149 Phone: (425)636-7084
License#:
General Information: Fees:
#of Gas Water Heaters > 100k 1 Mechanical Permit Fees 50.65
Total Calculated: 50.65
Deposits/Receipts: 0.00
Total Due: 50.65
Permits and Insp...- BLD-2020-0013-2020
020010-0004 Erin Wil... 01/09/2020 09:44AM
11715- FAST WATER HEATER
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&M LIMA OR WORKLI LSUSP EN D IF
D IOR ABANDONED FOR A PERIOD OF 801ZED IS NOT COMMENCED DAYS AT ANY TIME AFTER WORKItS 180 DAYS,COMMENCEOR D. IF
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115IEBOfiGERRHIYitTHAT I HAVERRAD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS
QFRS � A ORDINANCES RMIT DOES NOTRNING THIS TYPE PRESUME TO GIVE F AUTHORITY UTHORK ORITYILL BE TO VIOLATEPLIED WITHOR CANCEL HETHE ROVISIOCIS IED OF ANY OTHER ST NOT,
ATE OR
LOCAL j`fLAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED B
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Gtl Y O� PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT '
i PLUMBING & MECHANICAL PERMIT APPLICATION
k�� �, Mailing Address: P.O. Box 547,Anacortes, WA 98221
COR. Office Location: 904 6th Street,Anacortes WA 98821
Phone: (360) 293-1901
PLEASE REFER TO THE PLUMBING&MECHANICAL PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS
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Subdivision/Lot#: RESIDENTIAL y COMMERCIAL ❑
APPLICANT:, -) -i. mug 'h i.�
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Addre_ss(Street,city, State,Zip); Email Addres :
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ddress(Seat ,St e rTN Email Address:
CONTACT PERSONSIA) SMOAL C696.04 Phone:
A.ddxess.(Street.rity State,Z.inl: Email Address:
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Address(Street,City State,Zip): mailA re �`��
*All Contractors& subcontractors must have a valid Ci of fe sion 1 e Ye Exp.Date: „ f
Anacortes business license prior to doing work in the City.
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Contact the City's Finance Department at(360)299-1968. s License#: Exp.Date:usmes
Is this work,associated with another project? Yes ❑ No If yes,specify:
PROPOSED WORK:
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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 th City of Anacortes.
Print Name 1 Owner 0 Ae t (specify):
Signature: " V Date: 1 7
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Equipment Type: Appliance/Equipment Information (new and relocated): Total#:
Furnace: Gas#: Elec#: Other#: Location(s):
Wall Heater: Gas#: Elec#: Other:#: Location(s):
4Gas Water Heater: #: Location(s): (
Flee#: Other#: Location(s):
Heat Pump:
Air Conditioner/Handler: Elec#: Other:#: Location(s):
Radiant/Hydroni:Heating: (vas#: Flee#: Other:#: Location(s):
Exhaust Fans: Bath#: Laundry#: Kitchen#: Other#:
Range Hood: #: Type 1 or 2(Circle which one) Location(s):
Fireplace: Gas#: Elec#: Other:#: Location(s):
Clothes Dryer&Duct: Gas#: Elec#: Other:#: Location(s):
Stove/Range/Oven: Gas#: Elec#: Other:#: Location(s):
Refrigeration Unit: Elec#: Other:#: Location(s):
Gas Piping/Outlet(s): #: Location(s):
Bp oi°ei- Gas#: Flee#: BTUs: Lnratinn(s):I .
I
Other: #: Location(s):
TOTAL MECHANICAL OUTLETS:
1r►r t e-1-1""n1"1"1"1
Fixture Type(new and relocated): Total#: Fixture Type(new and relocated): Total#:
Water Closet(Toilet): Refrigerator water supply water/ice dispenser): I
a�vr�. `v'$e (Toilet): i supply(for dispenser):
Kitchen Sink: Pressure Reduction Valve/Pressure Regulator:
Utility Sink: Water Service Line:
Tub: Water Piping:
Hand Sink: Clothes Washer: � �
Shower: �' lectric Water Heater: Tank-less? Yes 0 No 1
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Dishwasher: Backflow Prevention Device:
Urinal: Hose Bib:
Floor Drain/Floor Sink: Drinking Fountain:
Hydronic Heat in: Floor ❑ Wall ❑ Grease Interceptor:
Other: Other: - - ---
TOTAL PLUMBING FIXTURES: