HomeMy WebLinkAboutPermit File 2008 10th Street (2) Y- 4`'•:_ City of Anacortes Invoice/Permit#: BLD-2019-0001
\ 904 6th Street
Applied date: 01/02/2019
P.O.Box 547 Issue date: 01/02/2019
' .' Anacortes, WA 98221-0547 Expire date: 06/30/2020
' '1m (360) 293-1901
Job Address: 2008 10TH ST Permit Type: Plumbing Permit
ANACORTES WA 98221-1422 Project:
APN: P56124
Remarks: Kitchen remodel that changes the dishwasher and kitchen sink from the exterior wall to the interior wall and the refrigerator
from the interior wall to the exterior wall. No walls will be moved or structurally changed except for plumbing penetrations.
The existing water line for the sink will be extended to the fridge and a hose bib and teed for the new placement of the fi
dishwasher and kitchen sink.
Owner: VICKIE NEUPERT Contractor: CLEANER GUYS, LLC
Address: 2008 10TH ST Address: 114 LIND ST
ANACORTES WA 98221-1422 MOUNT VERNON WA 98273-4975
Phone: (360)899-5251 Phone: (360)757-4300
License#: CLEANGL874MU
General Information: Fees:
#of Dishwashers 1 Plumbing Permit Fee 55.00
#of Kitchen Sinks 1 Total Calculated: 55.00
#of Hose Bibbs 1 Deposits/Receipts: 0.00
#of Water Piping 2
Total Due: 55.00
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 -Q/NYS, b ' IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WOR IS COMME'NGE I
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALLPROV±IONS
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN M NQT, ''HE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER ST+;'r :::pR
LOCAL LAW-RGULATI G,CON3TRL7 N OR THE PERFORMANCE OF CONSTRUCTION. •a:,
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-—Sty E F_ ER OR AUTHORIZED AGEN ISSUED BY
SI 17 to PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
PLUMBING & MECHANICAL PERMIT APPLICATION
Mailing Address:P.O. Box 547, Anacortes, WA 98221
4'' `Ic:o t 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:
,2vt3 1 n tic 5 .P5zeia-c/ 35�DrZ),o=l�
Sul,divisiun/Lot#. RESIDENTIAL COMMERCIAL ❑
l0{5 / 7+-1 S h f a cic.. 1743 /@
APPLICANT: Phone:
C-1 te-r Cabv,t5, LLB 3(.90-7S 7— 43C3t
Address(Street,City, State,Zip): Email Address:
1/LI l4 hd St fl4 cVAN WA ? 2-73 o-Ffi b pc-
PROPERTY O ER: Phone:
VI ekiC. V. ettpeit -34,o- gn-s- 5 /
Address(Street,City State,Zip): Email Address:
TS l0` St, Alnst-e-v-ri-Cs 1iuA 1V2 1 bosi-o vts fut,r8 14-6-64- ,c6-yvi
CONTACT PERSON: Phone:
Address(Stvet, City,State,Zip): Email Address:
1 t 4 1.-rwa cif, ,,, \[e 14-Om w A qn 73 h \e, c l u , cz-�
CONTRACTOR:* Pone:
CA-E L . -- G , LA-G 3p0 - 757-1367)
Address(Street,City,State,Zip): Ern i Address:
t t 1.-� S—t 11/U u,J Ve fiktvi 14)4 1 .73 0 ue, s, c o
*All Contractors& subcontractors must have a valid City of Professional License#: ' xp.Date:
Anacortes business license prior to doing work in the City. B ne���LPL � �U 7" I-3 ' t
Contact the City's Finance Department at(360)299-196& Business License#: Exp.Date:
- _ l0o3-ael7oLP) if -30- d-e)I61
Is this work, associated with another project? Yes ❑ No yi If yes, specify:
PROPOSED WORK: ki-1-,k,e4. it ,e-f
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 'tyyof-Anacortes.
Print Name: OJ 6 SV Owner K Agent ❑ (specify):
Signature: /Date: 1 l 'o‘1 i
MECHANICAL:
Equipment Type: Appliance/Equipment Information (new and relocated): Total II t:
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 3ulr cleat g. Gas#: Eles-#: Other: : Locaton(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):
Boiler: Gas#: Elec#: BTUs: Location(s):
Other: #: Location(s):
DOTAL MECHANI AI., OUTLETS: , .
PLUMBING FIXTURES:
Fixture Type(new and relocated): Total#: Fixture Type(new and relocated): Total#:
Water Closet(Toilet): Refrigerator water supply(for water/ice dispenser):
Kitchen Sink 1 Pressure Reduction Valve/Pressure Regulator:
Utility Sink: Water Service.Line:
Tub: Water Piping:
Hand Sink: Clothes Washer:
Shower: Electric Water Heater: Tank-less? Yes 0 No 0
Dishwasher: / Backflow Prevention Device:
Urinal: Hose Bib:
Floor Drain/Floor Sink: Drinking Fountain:
Hyclronic Heat in: Floor 0 Wall ❑ Grease Interceptor:
Other: Other:
TOTAL PLUMBING FIXTURES:, I
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