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t( j <br /> ii P� • <br /> LJ <br /> J i MAY 2'8 2020 <br /> 4 l,) 2 c�Z6 D d -1L. <br /> +� ZO�a '1TY OF ANACORTES <br /> b PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT <br /> 1 crivcr -='PLUMBING & MECHANICAL PERMIT APPLICATION <br /> Mailing Address:P.O. Box 547, Anacortes, WA 98221 <br /> `�c.,;,,co-:,..,‘:itg..,,, , rt: Office Location: 904 611r 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 /> 1909 27th .treat— — I r ___i P122591 $17,147 <br /> Subdivision/Lot#: RESIDENTIAL El COMMERCIAL 0 <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 /> Ruth Johnson 360-899-5653 <br /> Address(Street,City,State,Zip): Email Address: <br /> 1909 27th Place,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 City of Professional License#: Exp.Date: <br /> BAR <br /> Anacortes business license prior to doing work in the City. tress Li 9D7 10/23/20 to <br /> Contact the City's Finance Department at(360)299-1968. Business Lcense#: Exp.Date: <br /> 600-092-564 <br /> Is this work,associated with another project? Yes ❑ No El If yes,specify: <br /> PROPOSED WORK: Replace natural gas furnace and add new air conditioner <br /> I declare under penalty of petjuiy 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 0 Agent l l (specify): Barron Heating <br /> Signature: Date: 05/28/2020 <br />