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HomeMy WebLinkAboutPermit File 2509 Fir Crest Boulevard (3) 1 c► City of Anacortes Invoice/Permit#: BLD-2019-0076 G 904 6th Street '`} Applied date: 02/12/2019 `" P.O.Box 547 Issue date: 02/12/2019 ? Anacortes, WA 98221-0547 Expire date: 08/10/2020 Job Address: 2509 FIR CREST BLVD Permit Type: Mechanical Permit ANACORTES WA 98221-8762 Project: APN: P121957 Remarks: New tankless water heater Owner: CONNIE PANGRAZI Contractor: FOSS HEATING AND COOLING Address: 2509 FIR CREST BLVD Address: 333 E BLACKBURN RD ANACORTES WA 98221-8762 MOUNT VERNON WA 98273-9006 Phone: Phone: (360)336-1517 License#: General Information: Fees: #of Gas Water Heaters 1 Mechanical Permit Fees 34.15 Total Calculated: 34.15 Deposits/Receipts: 0.00 Total Due: 34.15 C1 —{ 1 W 1.7. ID -0 1:4 -5 u, I-- C1 1— ,y 11 :i• < cV a CA ••ID •- F-i 7.1 1 (;4 CI w VI 1t, t,} 1_n h.. y _f CD i 1-, el- in -, 1t M- 1 to •• • I: 1 r_1 n ..x. =1 E C7 i' t_1 _1 M4 0 O O) --1 Q. -.J y# D 7.. S 77. 1--1 r- rn 1: gc _1 . a Z `5 pl g + 'T y+ i£ • v ) c 1 ,* :1 i r• THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN(; 180 DAY S OI CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK:IS COMM,FN4EQ.r.l HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL P tOVIS1ON� OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR N6T,:TF E GRANTING OF A PERMIT DOES NO PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHERi.S;T,TE 00 LOCAL LAW REGULATING CANST TION OR THE PERFORMANCE OF CONSTRUCTION. '° -JJ �' SIGNATU �1 � E,©F 0 ,��I R • ,A - •RIZEDAGENT ISSUED BY 74_--- -,:am' �� f PLANNING,COMMUNITY,&ECONOMIC DEVELOPMENT DEPARTMENT PLUMBING & MECHANICAL PERMIT APPLICATION Mailing Address:P.O. Box 547,Anacortes, WA 98221 Office Location: 904 6th Street,Anacortes WA 98821 Phone: (360) 293-1901, Fax: (360)293-1938 PLEASEREFER TO THE PLUMBING&MECHANICAL PERMIT CHECKLIST FOR SUBMIT JAL REQUIREMENTS PROJECT ADDD�RES Street,Suite#): ( Parcel(s)#: (z( `-l7 Subdivision/Lot#: rL Residential K. Commercial D APPLICANT:rTh Phone: Fax: Address(Street city,,State,Zip): / E Mf�iE Address: 333 �c�tc �rK .� /t !/�u•k L�•1 7?-z 73 Oro e lc o ,�{� ` `y PROPERTY OWNER: . Phone: Fa • CC' VL c Pc,Gt2 ir-C4 02_ 300 (q eZ A4dr ss(Stre t,City,State Zip): �} E-Mail Address: •f G<- [ Y ( A-1,,,,cor l c.I (p 0/1 c( L21 QJ cL t 6 CONTACT PERSON: Phond: Fax: SA✓14P Dt-ti Address(Street,City,State,Zip): E-Mail Address: CONTRACTOR:* Phone: Fax: rAtA F A s t1-f PL<e ,iiv?— Address(Street,City,State,Zip): E-Mail Address *All Contractors&subcontractors must have a valid City of Contractor's License# Exp. Date: ca5Anacortes business license prior to doing work in the City. Business License #: p. "/- Z 0 License#: Exp. Date: Contact the City's Finance Department at(360)299-1968. C90 f 7— 70- !q Is this work,associated with another project? Yes D No,iF If yes,specify: PROPOSED WORK: t 't I'f K/c f- t, i- 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 o An fortes. Print Name: Owner ❑ Agent t (specify): (ljti+.vavrrre, Signature: !bate: