HomeMy WebLinkAboutPermit File BLD-2021-0750 1813 39th Court •
_ Cityof Anacortes BLD-2021 Invoice/Permit #: BLD 2021-0750
904 6th Street
' z Applied date: 09/07/2021
P.O.Box 547
' s Anacortes, WA 98221-0547 Issue date: 09/07/2021
r 1891 �- Expire date: 03/06/2023
(360) 293-1901
Job Address: 1813 39TH CT Permit Type: Mechanical Permit
ANACORTES WA 98221-3569 Project:
APN: P117570
Remarks: REMOVE AND REPLACE 50 GAL GAS WATER HEATER.
Owner: GUARD MARY B Contractor: THE PLUMBING GUYS INC.
Address: 453 ROCKLEDGE RD Address: 2901 T AVE
STE 2
FRIDAY HARBOR WA 98250-5613 ANACORTES WA 98221-2898
Phone: Phone: (360) 293-1878
License #:
General Information: Fees:
# of Gas Water Heaters <= 100k 1 Mechanical Permit Fees 38.20
Total Calculated: 38.20
Deposits/Receipts: 0.00
Total Due: 38.20
The issuance or granting of this permit shall not be construed to be a permit for, or approval of, any violation of this Code or any other ordinance or order of
the City, of any state or federal law, or of any order, proclamation, guidance advice or decision of the Governor of this State. To the extent the issuance or
granting of this permit is interpreted to allow construction activity during any period of time when such construction is prohibited or restricted by any state or
federal law, or order, proclamation, guidance advice or decision of the Governor of this State, this permit shall not authorize such work and shall not be
valid. The building official is authorized to prevent occupancy or use of a structure where in violation of this Code, any other City ordinances of this
jurisdiction or any other ordinance or executive order of the City, or of any state or federal law, or of any order, proclamation, guidance advice or decision of
the Governor. The building official is authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect,
inaccurate or incomplete information, or in violation of any City ordinance, regulation or order, state or federal law, or any order, proclamation, guidance or
decision of the Governor. This permit becomes null and void if work or construction authorized is not commenced within 180 days or if construction work is
suspended or abandoned for a period of 180 days at any time after work is commenced. I have read and exa is application and know the same to
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
1,7 PLUMBING :. MECHANICAL PERMIT APPLICATION
i841 Mailing Address:P.O. Box 547, Anacortes, WA 98221
-A" Office Location: 904 6th 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:
��13 39�►. Goutk
Subdivision/Lot#: RESIDENTIAL COMMERCIAL D
APPLICANT: Phone:
The Plwnb; 36o-a.93-1g)g
Address(Street,City,State,Zip): Email Address:
T (IA a..,hmollies, helpto*he plutitto s.Goth
PROPERTY OWNER: Phon :
TVA ( w 36o 198—).075
Address(Street,City,State,Zip): Email Address:
453 Rookledy (Zol cP;dat 14411q,ntla� 9iso
CONTACT PERSON:^� � Phone:
J,m butetck
Address(Street,City,State,Zip): Email Address:
4 s3 Rockle4 I-Ci dab H or W 9RaSo
CONTRACTOR:*
Phone:
The Pl n k a & c 36o-1.93-t'7g
Address(Street,City,State,Zip . Email Address:
19o1 T At/e tan:4- moicollesylh 90a,1
Professional License#: Exp.Date:
*All Contractors&subcontractors must have a valid City of P�AAB�196` r '
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 If yes,specify:
PROPOSED WORK: RtahooU 1 o AJ Un5 llvr� 1 D o. 5d a&iteA IWkhAhk,\_ 4gt t.___
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: 0144:41 1'Ce` Owner ❑ Agent (specify):
Signature:�//ft_ Date: o9/07A1
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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) :
Gas Water Heater : # : Location (s) : �.
Heat Pump :
Elec # : Other #: Location(s) :
Air Conditioner /Handler: Elec # :•
Other : # : Location(s) :
__.
Radiant /Hydronic Heating:•
Gas # : Eke #: Other: # : Location(s) :
Exhaust Fans : Bath # : Laundry #: Kitchen #: Other II :
Range Hood : # : Type I oi• 2 (Circle which one) Location( s) :
Fireplace : Gas # : Elec #: Other:
#: Location(s) :
Clothes Dryer & Duct: Gas #: Elec #: Other: # : Location(s) :
Stove/Range/even : Gas # : Elec # : Other: # : Location(s) :
Refrigeration Unit: Elec # : Other : #: Location(s) :
Gas Piping/ outlet(s) : #: Location(s) :
Boiler: Gas # : Elec # : 3TUs : Location (s) :
Other: #: Location(s) :
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Fixture Type (new and relocated ) : Total # :•
Fixture Type (new and relocated) : Total # :
Water Closet (Toilet) : Refrigerator water supply (for water/ice dispenser) :
Kitchen Sink: Pressure Reduction Valve/Pressure Regulator :
Utility Sink: Water Service Line :
• i Water
Tub . Piping:
Hand Sink: Clothes washer:
Shower: Electric Water Heater : T ankcless? Yes 0 No IN
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Dishwasher: Backiow Prevention Device :
Urinal : Hose Bib :
Floor Drain / Floor Sink: Drinking Fountain :
Hydronic Heat in: Floor a Wall ■ Grease Interceptor:
Other: other:
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