HomeMy WebLinkAboutPermit File BLD-2019-0728 1119 King Street Ci of Anacortes
tY Invoice/Permit#: BLD-2019-0728
\ 904 6th Street
Applied date: 11/06/2019
,."41111.111. P.O.Box 547 Issue date: 11/06/2019
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10,! Anacortes, WA 98221-0547
(360) 293-1901 Expire date: 05/04/2021
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Job Address: 1119 KING ST Permit Type: Mechanical Permit
ANACORTES WA 98221-3923 Project:
APN: P58648
Remarks: Replace natural gas furnace for the same.
Owner: FUNK C STEPHEN Contractor: BARRON HEATING&A C
Address: 1119 KING ST Address: 5100 PACIFIC HWY
ANACORTES WA 98221-3923 FERNDALE WA 98248-9080
Phone: Phone: (360)676-1131
License#:
General Information: Fees:
# Forced Air Furnace<=100k 1 Mechanical Permit Fees 38.30
Total Calculated: 38.30
Deposits/Receipts: 0.00
Total Due: 38.30
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS;=-•OR [F
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED ,
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PF(JVtSI.bI\M
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN ORNOT, ;F}k
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER-STATE'01H
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 'I
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SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
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a s � PLANNING,COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
=$ PLUMBING & MECHANICAL PERMIT APPLICATION
Mailing Address:P.O. Box 547,Anacortes, WA 98221
F:`e(4;r;.:` Office Location: 904 6`h Street,Anacortes WA 98821
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Phone: (360) 293-1901
PLEASE REFER TO THE PLUMBING&MECHANICAL PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS(Street,Suite#): PARCEL(S)#: PROJECT VALUATION:
1119 King Street P58648 $3,424
Subdivision/Lot#: RESIDENTIAL El COMMERCIAL ❑
APPLICANT: Phone:
Barron Heating 360-676-1131
Address(Street,City,State,Zip): Email Address:
5100 Pacific Highway Suite 103, Ferndale,WA 98248 kaylissad@barronheating.com
PROPERTY OWNER: Phone:
Steve Funk 360-708-2071
Address(Street,City,State,Zip): Email Address:
1119 King Street,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 kaylissad@barronheating.com
CONTRACTOR:* Phone:
Barron Heating 360-676-1131
Address(Street,City,State,Zip): Email Address:
5100 Pacific Highway Suite 103, Ferndale,WA 98248 kaylissad@barronheating.com
*All Contractors&subcontractors must have a valid City of Professional License#: Exp.Date:
BARROHA179D7 10/23/2020
Anacortes business license prior to doing work in the City. Business License#: Exp.Date:
Contact the City's Finance Department at(360)299-1968. 600-092-564 03/31/2020
Is this work,associated with another project? Yes 0 No El If yes,specify:
PROPOSED WORK: Install natural gas furnace like for like
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: Kaylissa Dunmore Owner 0 Agent EN (specify): Barron Heating
Signature: \IY1t./kJ4&- �1 y� J Date: 11/05/2019
MECHANICAL:
Equipment Type: Appliance/Equipment Information(new and relocated): Total#:
Furnace: Gas#: I Elec#: Other#: Location(s): 1
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): _
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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:
Tub: Water Piping:
Hand Sink: Clothes Washer:
Shower: Electric Water Heater: Tank-less? Yes 0 No 0 Dishwasher: Backflow Prevention Device:
Urinal: Hose Bib:Floor Drain/Floor Sink: Drinking Fountain:
Hydronic Heat in: Floor 0 Wall ❑ _ Grease Interceptor:
Other: Other:
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