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HomeMy WebLinkAboutBLD-2009-0407 - MECHANICAL AND GAS WATER HEATERS, COMMERCIAL sy City of Anacortes Permit#: BLD-2009-0407 904 6th Street Issue date: 10/26/2009 P.O.Box 547 Expire date: 12/25/2009 Anacortes, WA 98221-0547 (360) 293-1901 ..3 Job Address: 1014 4TH ST Permit Type: Demolition Permit ANACORTES WA 98221-1511 Project: APN: P55045 i 1 Remarks: Heating oil tank decommission. Remove according to local,state and federal codes. Owner: MARK EDSON Contractor: ULTRA TANK SERVICES Address: 13142 PERSONS RD Address: PO BOX 30076 BOW WA 98232-7222 BELLINGHAM WA 98228-2076 Phone: (360)707-5584 Phone: (360)815-5361 License#: ultratso33ck General Information: Fees: Total Calculated: Adjustments: Deposits/Receipts: Total Due: i THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. I t IM16'hc jle SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY 10/22/2009 15: 14 3602991965 ANACORTES FIRE DEPT PAGE 01/01 Uat %uud I I:U0a uitla IenKJafvlcss 36"98-2311 p.2 P ' . CITY OF ANACORTES DEMOLITION PERMIT APPLICATION �g l j� site_ ss_ !6 / ` ywy S— tt; Assess rs Accoum No.: Date: Lotts�: Block: Addition- OF/t.CiWS72u6771A/ Ownea Name: • &� ,)K R—Qf fA, ContractocsName: UC-7Tt "/ TRlfr q i/�e 4 Addre : /3l yz PLag c s a'o taaz �l Address: PC 2GX State: w Zip: 98�3� State--&ZA . Zip: Phone 7 Coa¢actors Licensee [l r 7 y2 A ft 3e !'Phone: 2,�0 Have tilities Been , otifiedl Description of proposed demolition_ Haw will.materials be disposed? If i . dater ept.: Yes No D&c-©o ff/ El ec Yes -o Cable. Yes No ✓2 r trnri.a t� 70 c��s�A� ••l'l�i Gas: Yes No C l n• �rI I rl B ICADESTOBEPROWDEDFORPUBLICPROTECI'ION,AREAMUSCBE Ir; ROPI DOFF! �' i' Applicant's or Agends Signature ��{i ASBY 3TQ.$ WARNING aF 13rvatl ing asbestos is hazardous to your healtkt. Before starting a renovation.or demolition project, i s for friable asbestos materials_ No*North�vest (�irPollution Authority prior to asbestos �•.`' resru or conraiament 1600 S na Street,Mr Vernon,WA98273 (360) 428-1617, iu I Fire m parcent Approval: ./ Date: 6(q i Polk Dept.Approval• Date: Publ l tb&Depa-tir nt Approval: ater i a: Co ents: zI t ,'11