HomeMy WebLinkAboutPermit File BLD-2019-0126 1215 Hartford Avenue X C City of Anacortes Invoice/Permit#: BLD-2019-0126
904 6th Street
Applied date: 03/11/2019
P.O.Box 547 Issue date: 03/11/2019
;0 Anacortes, WA 98221-0547
$ (360) 293-1901 Expire date: 09/06/2020 r`
Job Address: 1215 HARTFORD AVE Permit Type: Mechanical Permit
ANACORTES WA 98221-1201 Project:
APN: P58484
Remarks: Replace gas water heater like for like.
Owner: JUDY WALTERS Contractor: FAST WATER HEATER COMPANY
Address: 1215 HARTFORD AVE Address: 11715 N CREEK PKWY S
ANACORTES WA 98221-1201 BOTHELL WA 98011-8807
Phone: Phone: (425) 636-7084
License#: FASTWWH948BC
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
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAy5,r��Q t '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 PF OVIBIalE
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR 40-r,.i73-I4'
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER IT,IrBDF ,
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. a r?
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•.1 1—SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
MECHANICAL:
Equipment Type: Appliance/Equipment Information(anew and relocated): Total#:
Furnace: Gas# Elec# Other: # BTUs:<100k_>100k Location(s)
Wall Heater: Gas# Elec# Other: # BTUs:<100k>100k Location(s)
Air Handler: Gas# Elec# Other: #- BTUs:<100k>100k Location(s) _
Water Heater: Gas Elec# Other: # BTUs: <100k>100k Location(s) 01 U
on
AC Unit/Boiler/
Heat Pump/ Roof Gas# Elec# Other: # BTUs: <100k, 100k-500k, 500k-
Top Unit(Circle Mil FT: <3, 3-1 5,_15-30 Location(s)
selected):
Hydronic Heating: - Gas# Elec# In-Floor Wall Radiant Boiler BTUs: Location
Exhaust Fans Bath# Kitchen# Laundry# Other: #
(single duct):
Fireplace/Insert: Gas# Elec# Other: # Location(s)
Stove/Range/Oven: Gas# Elec# Other:_# Location(s)
Range Hood: # Location(s)
Refrigeration Unit: Gas# Elec# Other:_# Location(s)
Outdoor BBQ: Gas# Elec## Other: # Location(s)
Clothes Dryer&Duct: Gas# Elec## Other: # Location(s)
Gas Piping: # Location(s)
Other: # Location(s)
# Location(s)
TOTAL OUTLETS:
PLUMBING FIXTURES:
Fixture Type (new and relocated): Total#: Fixture Type(new and relocated): Total#:
Water Closet(Toilet): Pressure Reduction Valve/Pressure Regulator:
Urinal: Baclflow_Prevention.Device:
Sink(kitchen, ' atory,hand,bar,slop,
eye wash, etc.): Water Service Line:
Tub/Shower: g F
Dishwasher: of es a
•Hose Bib: Hydronic Heat in: ❑ Wall 0
Water Heater Tankless? Yes ❑ Grease Interceptor:
Floor Drain/Floor Sink: Water Piping:
Refrigerator water sup (for water/ice
dispenser):
TOTAL,OUTLETS: TOTAL OUTLETS: