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HomeMy WebLinkAboutPermit File 5502 Doon Way (2) Y- © ' . Cityof Anacortes Invoice/Permit#: BLD-2019-0077 904 6th Street Applied date: 02/12/2019 P.O.Box 547 Issue date: 02/12/2019 WA 98221-0547* ` 111- Anacortes, Expire date: 08/10/2020 1i ' ' (360) 293-1901 Job Address: 5502 DOON WAY Permit Type: Mechanical Permit ANACORTES WA 98221-2918 Project: APN: P59651 Remarks: Install new natural gas insert stove to existing gas Owner: COFFELT LYNN Contractor: BARRON HEATING&A C Address: 5502 DOON WAY Address: 5100 PACIFIC HWY ANACORTES WA 98221-2918 FERNDALE WA 98248-9080 Phone: Phone: (800) 328-7774 License#: BARROHA179D7 General Information: Fees: #of Gas Fireplace 1 Mechanical Permit Fees 34.15 Total Calculated: 34.15 Deposits/Receipts: 0.00 Total Due: 34.15 ,t. m i' t, 1 •c' In et, w n .-r TI .I- F-+ I I IP I.I r-F- •-.Q c F•. W. 0 1 1 H 11 LR — `-1 71 a .^t Z it. C. In IT. N• 4 I, m -- _T M- I-I ro THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAY r OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCE:1i.IF HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PPO-ctISIJt OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OFT;NOT;-0-HE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHEF •STATT drR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. > , SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED B v I_- .a,l - : :` PLANNING, CO&��I U IITY &ECONOMIC DEVELOPMENT DEPARTMENT F_ 1' PLUMBING & MECHANICAL PERMIT APPLICATION =�`^' ' ki? Mailing Address:P.O.Box 547,Anacortes, WA 98221 t' Office Location:904 6`''Street Anacortes WA 98821 1, Phone: (360)293-1901, Fax: (360)293-1938 PLEASE REFER TO THE PLUMBING&MECHANICAL PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS PROTECT ADDRESS(Street,Suite#): Parce s)#: 5562 OW V )afA Sq (DS i Subdivision/Lot#: 5 vq •, oc N 0 1 L 67 (p • Residential-1.9 Commercial ❑ APP C T: , Phone: Fax: SO usSOk I Cra4- -gib'1/44 3(p 0-334-ZS 3 z 363--61S-z--Z es Address(Street,City,State,Zip): 11bO W s Dk J kSt Lin E-Mail Address: \-A\--- \10(nOLn W Pc ck -2--7 S Gr - q co rot-tcas+ i PROS ERTY OWE i Phone: Fax: T 3tPb- Z�3 R 3 S 3 • Address treet,City,State,Zip): E-Mail Address: Sb2 Dcar v'A-{ A nac_of1 tf,Pc gtkui • CONT CT PERSON: Phone: Fax: 5ou3o ?i( o-W ZS32 _ Address(Street,City,State,Zip): E-Mail Address: CM 1n► 17\d 4 m Mk Je-rtnor\ uo A 1 kz'Z 3 Gra-k-5-bJes k P catcas-1-. + d- CQ` TOR:* Phone: Fax: L�k SinJ lAS t (t c/M 3{,0-33(p-7-5- 2 Address(Street,City, State,Zip): E-Mail Address q b b W .c0 't\5 JY\ tAk- \ie anon Wfc C273 C (c s .\1eswc5 h( C -t t : vl-el' "All Contractors'&subcontractors'must have a valid City of ContrAa�ctoor's License# Exp.Date: . Anacortes business license prior to doing Work in the City. � T ,� �� �3 t Contact the City's Finance Department at(360)299-1968. Business Licenn se#: Exx p.Date: • Is this work,associated with another project? Yes 0 No IlD If yes,specify: PROPOSED WORK: 1v - .j \ net.) 0 ckAUfc ' Gt c s IA.Se..f.r+ '-E-o Je --k-c. I declare under penalty of perjury that the information I have provided on this foi.wlapplication 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 th City of Anacortes. n Print Nam e: (h,W O U�cSQ' 7 l(� Owner ❑ Agent (specify): Y-kr1 ( in Signature: Date: 2-1 -7 I ` 61