HomeMy WebLinkAboutPermit File BLD-2019-0659 5718 Sugarloaf Street 2'6 sY (:),Its;'--. Cityof Anacortes
Invoice/Permit#: BLD-2019-0659
904 6th Street
Applied date: 10/07/2019
P.O.Box 547
z Issue date: 10/07/2019
3'' 7 Anacortes, WA 98221-0547
-r rr ;- Expire date: 04/04/2021
(360) 293-1901
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Job Address: 5718 SUGARLOAF ST Permit Type: Plumbing Permit
ANACORTES WA 98221-2966 Project:
APN: P59074
Remarks: Remove old vanity and replace with new ones, replace tub, replace plumbing to faucet, remove and reinstall toilet.
Owner: ERIN & EDWIN GLESS Contractor: OWNER
Address: 5718 SUGARLOAF ST Address:
ANACORTES WA 98221-2966
Phone: (305)450-9882 Phone:
License#:
General Information: Fees:
#of Bathtubs 1 Plumbing Permit Fee 55.00
#of Lavatories 2 Total Calculated: 55.00
#of Water Closets 1
#of Showers 1 Deposits/Receipts: 0.00
Total Due: 55.00
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 ' PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE -_-- VISIONS OF ANY OTHER STATE OR
LOCAL LAW R 'ULATING CO-
NSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
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i .���SIGN URE OF Ord ER O- THORIZE ENT ISS /
Permits and Insp... - BLD-2019-0659 - 2019
019401-0099 Carla Br... 10/07/2019 04:38PM
12542 - ERIN & EDUUIN GLESS
BLD-2019-0659 Plumbing Permit
Payment Amount: 55.00
Transaction Amount: 55.00
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G ` a te_ PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
( ° ' PLUMBING & MECHANICAL PERMIT APPLICA' 'OGN
74'
. $' Mailing Address:P.O. Box 547,Anacortes, WA 98221
:?c`o 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:
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Subdivision/Lot RESIDENTIAL ❑ COMMERCIAL ❑
APPLICANT: Phone:
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Address(Street,City,State,Zip): Email Address:
5—AA% Solortoof s - Av\aciaAc_s ci8`7zt 'Erin Gle c 3 @ Vla,iI-Cz
PROPERTY. WNER: Phone:
Address(Street,City,State,Zip): Email Address:
CONTACT PERSON: Phone:
S0-w'--
Address(Street,City,State,Zip): Email Address:
CONTRACTOR:* �,(, Phone:
Address(Street,City,State,Zip): Email Address:
*All Contractors&subcontractors must have a valid City of Professional License#: Exp.Date:
Anacortes business license prior to doing work in the City. Business License#: Exp.Date:
Contact the City's Finance Department at(360)299-1968.
Is this work,associated with another project? Yes ❑ No If yes,specify:
PROPOSED WORK:
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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: ErA. 61-e.S'S Owner % Agent 0 (specify):
Signature: — Date:
MECHANICAL:
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):
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):
TOTAL MECHANICAL OUTLETS:
PLUMBING FIXTURES:
Fixture Type(new and relocated): Total#: Fixture Type(new and relocated): Total#:
Water Closet(Toilet): I Refrigerator water supply(for water/ice dispenser):
Kitchen Sink: Pressure Reduction Valve/Pressure Regulator:
Utility Sink: Water Service Line:
Tub: 1 Water Piping:
Hand Sink: '2_ 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 ❑ Wall ❑ Grease Interceptor:
Other: Other:
111111111111.1111111111111111111111111.11111110 TOTAL PLUMBING FIXTURES: (-;