HomeMy WebLinkAboutBLD-2016-1624 - MECHANICAL AND GAS WATER HEATERS, RESIDENTIAL -. C] City of Anacortes InvoicelPernnit#: BLD-2016-1624
s :s 904 6th Street Applied date: 11/02/2016
�_ P.O.Box 547 Issue date: 11/02/2016
'Y '0 Anacortes, WA 98221-0547
; Expire date: 05101/2018
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(360) 293-1901
Job Address: 1300 O AVE Permit Type: Mechanical Permit
ANACORTES WA 98221 Project:
APN:
Remarks: Install 33 mini split heat pumps
Owner: CHANDLER SQUARE Contractor: HANDYS HEATING
Address: 1300 O AVE Address: 17737 STATE ROUTE 536
ANACORTES WA 98221-2187 MOUNT VERNON WA 98273-8754
Phone: (360)293-1300 Phone: (360)428-0969
License#: HANDYH1088JW
General Information: Fees:
#of Heat Pumps 33 Mechanical Permit Fees 374.95
Total Calculated: 374.95
Deposits/Receipts: 0,00
Total Due: 374.95
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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?
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIO&S,
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR RIOT,
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATEipI'
LOCAL LAW REGULATING CONSTRUCTION OR-THE PERFORMANCE OF CONSTRUCTION 4w
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SIG RE OF OWNER CIRAUTH � IZED AGENT �IDID [3T N�3F
MECHANICAL PERMIT APPLICATION
Building Department
y� P.O. Box 547 Anacortes, WA 98221
Phone No.: 360-293-1901 FAX: 360.293.1938
SITE ADDRESS: ,' ,; ¢ }
CONTRACTOR
Name PROTECT DESCRIPTION
- -- - - - - - t ❑ Now Work
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address._ }} -
lZip� _ ,� `! Alteration
City/State
Phone ' FAX Permit Fee l 23.50
- — tale Lieense Esgs Type of Equip. Fee Each No. Amount
City of Anacortes Business License# Air Cond. Unit 10.653-1 . v
PROPERTY OWNER Refrigeration Unit 10.65
Name r Forced Air SysteCa 14,H
-
- -- -Address ----- Floor Furnace 14.80
-----. City/State/Zip��( ---- ,- � Wall Heater 14,80
Phono' V IFAX Clothes Dryer 10.65
E-mail Address Ventilation Fan .. -7-25 ---
APPLICANT Range Hood 10.65
Name TOW Gas'Fireplace 10.65
Address Gas Water Heater 10.65
CitylState/Zip Gas Piping 4.75
Phone FAX Other(Describe)
E-mail Address
CONTACT TOTAL FEES DUE '
Address
CitylState/Zip
Phone / FAX
E-mail Address
I HEREBY ACKNOWLEDGE I HAVE READ THIS PERMI_�APPf.CATION AND STATE THE'INFORMATION IS CORRECT,AND
AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE.LAWS REGULATING ACTIVITIES COVERED BY THIS
PERMIT APPLICATION. WITH THIS PERMIT ALL CONTRACTORS AND SUBCONTRACTORS SHILL HAVE A CURRENT
WASHINGTON STATE CONTRACTORS LICENSE AND A CITY BUSINESS LICENSE.STOP WORK ORDERS WILL BE
ISSU )N` OB SITES W RE CONTRACTORSISUBCONTRACTORS ARE WORKING WITHOUT PROPER LICENSE.
APPUCAN rvs GNATU DATE
Last Updated 11-2M5
APPROVED PI AN * 5
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