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HomeMy WebLinkAboutPermit File BLD-2019-0614 1914 29th Place 8. 0 City of Anacortes Invoice/Permit#: BLD-2019-0614 904 6th Street Applied date: 09/19/2019 _ `"+ ■r.w" P.O.Box 547 Issue date: 09/19/2019 Anacortes, WA 98221-0547 Expire date: 03/17/2021 (360) 293-1901 Job Address: 1914 29TH PL Permit Type: Mechanical Permit ANACORTES WA 98221-3871 Project: APN: P122605 Remarks: Replace 2 water heaters for the same...40 gallon natural gas. Owner: JOHN B SWITZER Contractor: CPI PLUMBING & HEATING Address: 1914 29TH PL Address: 1900 RAILROAD AVE ANACORTES WA 98221-3871 MOUNT VERNON WA 98273-4957 Phone: (360) 755-3339 Phone: (360)428-5636 License#: General Information: Fees: #of Gas Water Heaters<= 100k 2 Mechanical Permit Fees 52.90 Total Calculated: 52.90 Deposits/Receipts: 0.00 Total Due: 52.90 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. l� SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSmED BY I Permits and Insp... - BLD-2019-0614 - 2019 019395-0010 Carla Br... 10/02/2019 11 :09AM 11731 - CPI PLUMBING & HEATING BLD-2019-0614 Mechanical Permit Payment Amount: 52.90 Transaction Amount: 52.90 CHECK: 020818 5 1-a e R VT 75'11 , .. ...:._ , .. ., s 11 ., , sy 1 g Z019SEP . - VI Y. f • .PLANNING, COMMUNITY. & ECONOMIC DEVELOPMENT DEPARTMENT e -• (; ;4 . ,- I'" - PLUMBING & MECHANICAL PERMIT APPLICATION 7w Mailing Address: P.O. Box 547, Anacortes, WA 98221 VillegO c:o'iL 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: 1 all L 2-i't*''+ P1acr, e I too 5 $ 4 avo Subdivision/Lot #: /.p Lot # 23 RESIDENTIAL ! COMMERCIAL IDAPPLICANT: Phone: CPI P1 u vv bi - - 4�-e -k-t fit{ 3(Q0 - 42S- - 5(0. (o Address (Street, City, State, Zip): J Email Address: tCS00 1 .c \ 1-Cctat Ptv.., IAA.. e( rt, g%z: c yarririnnet.CZ CPI ptt crm VI . co in PROPERTY OWNER: Phone: J \johr1 - tic v 3Lcc) - 156 -333q Address (Street, City, State, Zip): Email Address: iSi Lf 29.1m ()lace- t Arict cdci-cs l tA7et q cr2.z I re)cit..35 Z Cam ©t.. lank .corm COACTCONTACT ‘Ka,n- . - el) I QO - Lk Ifs- - 5t 3 Address (Street, City, State, Zip): � Email Address: - tcloc, P-au1rock-a Pv� . Nl�.k)exiixr1E A c1Sr2?3 cv.�.,11m q�.(( cpi Fl+.„6I ,7 .c _ch CONTRACTOR:* Phone: �1 J 6vvve as a p i co_cGt" Address (Street, City, State, Zip): Email Address: *AllContractors & subcontractors must have a valid City of Professional License #: Exp. Date: )1PLPt-t5-50/IN 0--i1IS 12ort Anacortes business license prior to doing work in the City. Business License #: Exp. Date: Contact the City Finance Department at (360) 299-1968. k� �V e- 1 -2112.0 2.d Is this work, associated with another project? Yes ❑ No M If yes, specify: PROPOSED WORK: ? to 2 VJCLArcr heuAce time. -or \N„.e. 40 Ica Ncth i4 ? _6 as, 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: fAStc a.ii l►'Y1P, i� Owner ik Agent 0 (specify): — Signature: _ -- Date: II &I ) ci MECHANICAL: Equipment Type: Appliance/Equipment Information (new and relocated): Total #: Furnace: Gas #: Elec #: Other#: Location(s): Wall Heater: Gas #: Eke #: Other: #: Location(s): Gas Water Heater: #: 2 Location(s): S e.e. S 11-e 01C1-0 • 2 Beat Pump: Elec #: Other -': Location(s): Air Conditioner /Handler: Flee #: Other: #: Location(s): Radiant /Hydronic Heating: Gas #: Elec #: Other: #: Location(s): Exhaust Fans: Bath #: Laundry' #: Kitchen #: Other#: Range Hood: #i: Type 1 or 2 (Circle which one) Location(s): Fireplace: Gas #: Flee #: - Other: #: Location(s): Clothes Dryer & Duct: Gas #: Mee #: 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 #: Flee k: Bits: Location(s): Other: #: Location(s): J TOTAL MECHANICAL OUTLETS. 1. PLUMBING FIXTURES: 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: i Tub: Water Piping: I Hand Sink: Clothes Washer: Shower: Electric Water Heater: Tank-less? Yes ❑ No ❑ Dishwasher: Backflow Prevention Device: Urinal: Hose Bib: Floor Drain / Floor Sink: Drinking Fountain: Hydronic Heat in: Floor 0 Wall 0 Grease Interceptor: Other: Other: TOTAL PLUMBING FIXTURES: