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HomeMy WebLinkAboutPermit File BLD-2019-0313 1807 Creekside Lane 1� " © Cityof Anacortes Invoice/Permit#: BLD-2019-0313 904 6th Street Applied date: 05/13/2019 `"*"" +' P.O.Box 547 Issue date: 05/13/2019 Anacortes, WA 98221-0547 ' � Expire date: 11/08/2020 } '�''�fli�ilr T^ (360) 293-1901 Job Address: 1807 CREEKSIDE LN Permit Type: Mechanical Permit ANACORTES WA 98221-2463 Project: APN: P99858 Remarks: Add AC to existing heating system. Owner: SUSAN WORTHY Contractor: BARRON HEATING&A C Address: 1807 CREEKSIDE LN Address: 5100 PACIFIC HWY ANACORTES WA 98221-2463 FERNDALE WA 98248-9080 Phone: (916)496-5053 Phone: (800)328-7774 License#: General Information: Fees: #of Air Conditioning Units 1 Mechanical Permit Fees 34.15 Total Calculated: 34.15 Deposits/Receipts: 0.00 Total Due: 34.15 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. SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY PLANNING, COMMUNITY,&ECONOMIC DEVELOPMENT DEPARTMENT PLUMBING & MECHANICAL PERMIT APPLICATION Vfr " Mailing Address:P.O.Box 547,Anacortes, WA 98221 �:co1F Office Location:904 6th Street,Anacortes WA 98821 Phone: (360)293-1901 PLEASE REFER TO THE PLUMBING&MECHANICAL PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS PROJECT ADDRESS(Street,Suite#): PARCEL(S)#: PROJECT VALUATION: 1807 Creekside Lane P99858 $8,637 Subdivision/Lot#: RESIDENTIAL El COMMERCIAL 0 APPLICANT: Phone: Barron Heating 360-676-1131 Address(Street,City,State,Zip): Email Address: 5100 Pacific Highway Suite 103,Ferndale,WA 98248 amandaa@barronheating.com PROPERTY OWNER: Phone: Susan&Lee Worthy 916-496-5053 Address(Street,City,State,Zip): _Email Address: 1807 Creekside Lane,Anacortes,WA 98221 N/A CONTACT PERSON: Phone: Barron Heating 360-676-1131 Address(Street,City,State,Zip): Email Address: 5100 Pacific Highway Suite 103,Ferndale,WA 98248 amandaa@barronheating.com CONTRACTOR:* Phone: Barron Heating 360-676-1131 Address(Street,City,State,Zip): Email Address: 5100 Pacific Highway Suite 103,Ferndale,WA 98248 amandaa@barronheating.com Professional License#: Exp.Date: *All Contractors&subcontractors must have a valid City of BARROHA17967 10/23/2020 Anacortes business license prior to doing work in the City. Business License#: Exp.Date: Contact me City's Finance Department at(360)299-1968. 600-092-564 Is this work,associated with another project? Yes 0 No El If yes,specify: PROPOSED WORK: Install air conditioner to existing heating system. • • 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 of Anacortes. Print Name: Amanda Allison // Owner 0 Agent IN (specify): Barron Heating Signature: i.-1 t,j Date: 05/13/2019