HomeMy WebLinkAboutBLD-2011-0397 - MECHANICAL AND GAS WATER HEATERS, RESIDENTIAL y
°G1T_Y.. City of Anacortes Permit#: BLD-2011-0397
904 6th Street P.O.Box 547 Issue date: 11/02/2011
3 Expire date: 04/30/2013
rrys Anacortes, WA 98221-0547
UR� � (360) 293-1901
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Job Address: 920 J AVE Permit Type: Mechanical Permit
ANACORTES WA 98221 Project:
APN: P55940
Remarks:
Owner: LANCE MUNSELLE Contractor: CRAFT STOVES INSTALLATIONS, IN
Address: 920 J AVE Address: 900 W DIVISION ST
ANACORTES WA 98221 MOUNT VERNON WA 98273-3226
Phone: (707)953-2070 Phone: (360)336-2532
License#:
General Information: Fees:
#of Gas Fireplace 1 Mechanical Permit Fees 38.90
#of Gas Piping 1 Total Calculated: 38.90
Deposits/Receipts: 0.00
Total Due: 38.90
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR Pb-
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. C?
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL o
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. 10
GSIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED
MECHANICAL PERMIT APPLICATION
Building Department
P.O. Box 547 Anacortes, WA 98221
Phone No.: 360-293-1901 FAX: 360.293.1938
SITE ADDRESS:
CONTRACTOR /
Name �r�i l'l go PROJECT DESCRIPTION
9� �✓ New Work
Address_. ��
❑ Alteration
City/State/zip
Phone / FAX Permit Fee 23.50
State License# [ S! 9 7dRT Exp—LIZ A2, Type of Equip. Fee Each No. Amount
City of Anacortes Business License# Air Cond.Unit 10.65
PROPERTY OWNER Refri erahon Unit 10.65
Name SForced Air Syatem 14.80
Address _)r 10IJ
Floor Furnace 14.80
City/State/Zip �1�?ctr��✓�f a s1 L✓a ���� Wail Heater 14.80
Phone(7Q2)9 S>` �?0 7b / FAX ,?', Clothes Dryer 10.65
E-mail Address . Gi Lod' Ventilation Fan 7.25
APPLICANT Range Hood 10.65
Name j e L L zr Gas Fireplace 10.65
Address Gas Water Heater 10.65
City/State/Zip Gas Piping 4.75
Phone FAX Other(Describe)
E-mail Address
CONTACT r► TOTAL FEES DUE
Name �-e [/L✓1n�✓'
Address
City/State0p
Phone FAX
E-mail Address
1 HEREBY ACKNOWLEDGE I HAVE READ THIS PERMIT APPLICATION AND STATE THE INFORMATION IS CORRECT,AND
AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING ACTIVITIES COVERED BY THIS
PERMIT APPLICATION. WITH THIS PERMIT ALL CONTRACTORS AND SUBCONTRACTORS SMLL HAVE A CURRENT
WASHINGTON STATE CONTRACTORS LICENSE AND A CITY BUSINESS LICENSE.STOP WORK ORDERS WILL BE
ISSUED ON JOB SITES WHERE CONTRACTORSISUBCONTRACTORS ARE WORKING WITHOUT PROPER LICENSE.
PLICANTS SIGNATURE DATE
I ast updated 11-29-05