HomeMy WebLinkAboutPermit File BLD-2019-0631 2720 Oakes Avenue Y City of Anacortes Invoice/Permit#: BLD-2019-0631
904 6th Street
Applied date: 09/30/2019
P.O.Box 547 Issue date: 09/30/2019
~ ' .'t?.: Anacortes, WA 98221-0547
(360) 293-1901 Expire date: 03/28/2021
Job Address: 2720 OAKES AVE Permit Type: Mechanical Permit
ANACORTES WA 98221-1 31 7 Project:
APN: P58263
Remarks: Remove old gas fireplace and install a new one.
Owner: NORMA PRIEBE Contractor: CRAFT STOVE INSTL OF MV WA LLC
Address: 2720 OAKES AVE Address: 900 W DIVISION ST
ANACORTES WA 98221-1317 MOUNT VERNON WA 98273-3226
Phone: (360) 588-4054 Phone: (360)336-3532
License#:
General Information: Fees:
#of Gas Fireplace 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
Permits and Insp... - BLD-2019-0631 - 2019
019390-0028 Carla Br... 09/30/2019 10:09AM
12241 - CRAFT STOVE INSTL OF MV WA LLC
BLD-2019-0631 Mechanical Permit
Payment Amount: 34.15
Transaction Amount: 68.30
CHECK: 01 '1538
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Y PLANNING,COMMUNITY,&ECONOMIC DEVELOPMENT DEPARTMENT
I /ow PLUMBING & MECHANICAL PERMIT APPLICATION
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Mailing Address:P.O.Box 547,Anacortes, WA 98221
Office Location:904 61h 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:
2_72.0 dcU'cs Pvve- PS2'2--(03 ,c;.(73c)—
Subdivision/Lot#: RESIDENTIAL X COMMERCIAL ❑
N 11) f acvFC-5, glk -2-D1j 1.4k qi 10
APPLICANT: Phone:
Cra- -1- S+D\(e_ 3c,0-33(9-7 3'2-
Address(Street,City,State,Zip): Email Address:
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PROPERTY OWNER: Phone: 1
NO(rna. Prtebe 3(pb-cDT -1--/oS(/
Address(Street,City,State,Zip); 48 Z, Email Address:
2120 C AQS e- NA(Otte 10
CONTACT PERSON: Phone: •
F n C)L,u 3(p U 33C--2-S3 2-
Address(Street,City,State,Zip): Email Address:
Ci DD W ,Di V tSior\ V\-4-. V€.Xnm tnl(c ci>z7S s-ovesuu(A ke-co c_asi- net
CONTRACTOR:* Phone:
C CM- S-IM[e- i\S t a\\etf 1 - 3 62 U-3T3 -2532
Address(Street,City,State,Zip): Email Address:
q()0 W, \ tS1Or\ I"kk--.V'exnu(\V\1 A- 1�62.-73 e otscis+DvSWGSI"CCnf-tCas (\e±
*All Contractors&subcontractors must have a valid City of
Professional License#: Exp,Date:
Anacortes business license prior to doing work in the City. � �31 L>n ate
Contact the City's Finance Department at(360)299-1968.
Business License#: Exp.Date:
Is this work,associated with another project? Yes ❑ No 1f46 If yes,specify:
PROPOSED WORK: re r'-O i c ol.\ D\G S -Ci re p cr Ce v\S l V\e w
o U.S -F,t e--p\a Csz -lam, .mac,;S46 .
I declare under penalty of perjury that the information I have provided on this formlapplication 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,Ciy of Anacortes. " 1 �
Print Name: 'f v)\, SC) c�G1 '� �1 R(J�, Owner ❑ Agent rir(specify): MI 11 I n
Signature: Date: g / / 1 i
MECHAN. G.
Equipment Type: Appliance/Equipment Information(new and relocated): Total#:
Furnace: Gas#: Elec#: Other#: Location(s):
Wall Heater: Gas#: Elec#: Other:#: Location(s):
Gas Water Heater: #: Location(s):
Heat Pump: Elec#: Other#: Location(s):
Air Conditioner/Handler: Elec#: Other:#: Location(s):
Radiant/Hydronic Heating: Gas#: Elec#: Other:#: Location(s):
Exhaust Fans: Bath#: Laundry#: Kitchen#: Other#:
Range Hood: #: Type 1 or 2(Circle which one) Location(s):
Fireplace: Gas#: Elec#: Other:#: Location(s): U V i`9
Clothes Dryer&Duct: Gas#: Elec#: Other: #: Location(s):
Stove/Range/Oven: Gas#: Elec#: Other:#: Location(s):
Refrigeration Unit: Elec#: Other:#: Location(s):
Gas Piping/Outlet(s): #: Location(s):
Boiler: Gas#: Elec#: BTUs: Location(s):
Other: #: Location(s):
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PLUMBING, IXTURES:
Fixture Type(new and relocated): Total#: Fixture Type(new and relocated): Total#:
Water Closet(Toilet): Refrigerator water supply(for water/ice dispenser):
Kitchen Sink: Pressure Reduction Valve/Pressure Regulator:
Utility Sink: Water Service Line:
Tub: Water Piping:
Hand Sink: Clothes Washer:
Shower: Electric Water Heater: Tank-less? Yes 0 No ❑
Dishwasher: Backflow Prevention Device:
Urinal: Hose Bib:
Floor Drain/Floor Sink: Drinking Fountain:
Hydronic Heat in: Floor ❑ Wall ❑ Grease Interceptor:
Other: Other:
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