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cti'� Y 0� PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT <br /> PLUMBING & MECHANICAL PERMIT APPLICATION <br /> lvfailing Address: P.O. Box 547, Anacortes, WA 98221 <br /> c Office Location: 904 611' Street, Anacortes WA 98821 <br /> Phone: (360) 293-1901 <br /> PLEASE REFER TO THE PLUMBING & MECHANICAL PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS <br /> PROJECT ADDRESS (Street, Suite #): PARCEL(S) #: PROJECT VALUATION: <br /> 2506 Fir Crest Boulevard P121974 $13,476 <br /> Subdivision/Lot#: - <br /> RESIDENTIAL ® COMMERCIAL ❑ <br /> APPLICANT: Phone: <br /> Barron Heating 360-676-1131 <br /> Address (Street, City, State, Zip): Email Address: <br /> 5100 Pacific Highway Suite 103, Ferndale, WA 98248 amandaa@barronheating.com <br /> PROPERTY OWNER: Phone: <br /> Charles Eckardt 207-522-3341 <br /> Address (Street, City, State, Zip): Email Address: <br /> 2506 Fir Crest Boulevard, Anacortes, WA 98221 N/A <br /> CONTACT PERSON: Phone: <br /> Barron Heating 360-676-1131 <br /> Address (Street, City, State, Zip): Email Address: <br /> 5100 Pacific Highway Suite 103, Ferndale, WA 98248 amandaa@barronheating.com <br /> CONTRACTOR:* Phone: <br /> Barron Heating 360-676-1131 <br /> Address (Street, City, State, Zip): Email Address: <br /> 5100 Pacific Highway Suite 103, Ferndale, WA 98248 amandaa@barronheating.com <br /> *All Contractors & subcontractors must have a valid Cite of Professional License #: Exp. Date: <br /> BARROHA179D7 10/23/2020 <br /> Anacortes business license prior to doing work in the City. Business License #: Exp. Date: <br /> Contact the City's Finance Department at (360) 299-1968. 600-092-564 <br /> Is this work, associated with another project? Yes ❑ No ® If yes, specify: <br /> PROPOSED WORK: Install ductless heat pump with one indoor head & natural gas tankless water heater in the garage <br /> I declare under penalty of perjury that the information I have provided on this form/application is true, correct, and <br /> complete, and that I am the property owner or duly authorized agent of the property owner to submit a permit <br /> application to the City of Anacortes. <br /> Print Name: Amanda Allison Owner ❑ Agent El (specify): Barron Heating <br /> Signature: Date: 03/02/2020 <br />