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Home My WebLink AboutPermit File BLD-2019-0755 4019 Astrea Place G City of Anacortes Invoice/Permit#: BLD-2019-0755 •� 904 6th Street Applied date: 11/15/2019 P.O.Box 547 Issue date: 11/15/2019 ; Anacortes, WA 98221-0547 Expire date: 05/13/2021 (360) 293-1901 Job Address: 4019 ASTREA PL Permit Type: Mechanical Permit ANACORTES WA 98221-3957 Project: APN: P108771 Remarks: Replace gas water heater with a 50 gal one. Owner: BRADLEY& SANDRA COX Contractor: FAST WATER HEATER Address: 4019 ASTREA PL Address: 11715 N CREEK PKWY S ANACORTES WA 98221-3957 BOTHELL WA 98011-8807 Phone: (360)391-2636 Phone: (425)636-7084 License#: General Information: Fees: #of Gas Water Heaters> 100k 1 Mechanical Permit Fees 50.65 Total Calculated: 50.65 Deposits/Receipts: 0.00 Total Due: 50.65 • + --I 1 W +-.. C+ -n mt n --iN) -r x IP a. F.Y r ji +�.. ... t'+ rl- +-` I I IP �+ r• IP $ m 7-. 0 - r- ]} 3 --A 0) 0' . 3 t ft. z' _1 „ :z i -'S En i • i' Z1 I • IT! T THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DA'(STIOR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCEDI; i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PIOVIS18% OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR;NOT,TILE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL T QVISIONS OF ANY OTHER-STATgc LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �+ J h1 SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSU - - t+ 1' ^Y 6 Cityof Anacortes Invoice/Permit#: BLD-2019-0755 904 6th Street Applied date: 11/15/2019 P.O.Box 547 Issue date: 11/15/2019 Anacortes, WA 98221-0547 Expire date: 05/13/2021 ,, - ,.,_ (360) 293-1901 Job Address: 4019 ASTREA PL Permit Type: Mechanical Permit ANACORTES WA 98221-3957 Project: APN: P108771 Remarks: Replace gas water heater with a 50 gal one. Owner: BRADLEY&SANDRA COX Contractor: FAST WATER HEATER Address: 4019 ASTREA PL Address: 11715 N CREEK PKWY S ANACORTES WA 98221-3957 BOTHELL WA 98011-8807 Phone: (360) 391-2636 Phone: (425) 636-7084 License#: General Information: Fees: #of Gas Water Heaters> 100k 1 Mechanical Permit Fees 50.65 Total Calculated: 50.65 Deposits/Receipts: 0.00 Total Due: 50.65 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 S. O . City of Anacortes Invoice/Permit#: BLD-2019-0755 904 6th Street Applied date: 11/15/2019 `"■ P.O.Box 547 Anacortes, WA 98221-0547 Issue date: 11/15/2019 Expire date: 05/13/2021 (360) 293-1901 Job Address: 4019 ASTREA PL Permit Type: Mechanical Permit ANACORTES WA 98221-3957 Project: APN: P108771 Remarks: Replace gas water heater with a 50 gal one. Owner: BRADLEY& SANDRA COX Contractor: FAST WATER HEATER Address: 4019 ASTREA PL Address: 11715 N CREEK PKWY S ANACORTES WA 98221-3957 BOTHELL WA 98011-8807 Phone: (360) 391-2636 Phone: (425) 636-7084 License#: General Information: Fees: #of Gas Water Heaters> 100k 1 Mechanical Permit Fees 50.65 Total Calculated: 50.65 Deposits/Receipts: 0.00 Total Due: 50.65 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 , '615 1 ul S. I , --' -Th R-4 Nov 15 2019 is , d T Y PLANNING, COMMUNITY, &ECONOMIC DEVELOPME ENT G PLUMBING & MECHANICAL PERMIT APPL1 ATI 'VOHTES ‘��.tc�. Mailing Address: P.O. Box 547,Anacortes, WA 98221 9co4 - Office Location: 904 6th Street, Anacortes WA 98821 Phone: (360) 293-1901 PLEASE REFER TO THE PLUMBING&MECHANICAL PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS ECT D RESS(Street uite#): #: PROJECT VALUATION: vi� 1. I re Y1 , ' 1 o r�e5,WW-�1 � W6kL(S) I I �' r,,, Subdivision/Lot#: RESIDENTIAL COMME I'CIAL ❑ APPLICANT: - Phone;-- „iyAny- otRim , ,i,f)u, 10.1 Address(Street,city, State,Zia.); ' � Ema�ddr�� ire N CY cci ij, \Aii IerKic �\ 4te p PF,RTY_oWNE Phone: Vh( ( re�e iCity,Stag ): EmailAddress: 6 I - veci p i,14111660r-fe S, Ss2a-1 - CONTACT PERSON '� � \ k Coenrd Phone: Adcix?ss_LStreet.ritv__State,Zin): Email Address: CONTRACTOR: WInfive, .i.,,,en-V4hoho op 1,61 Address,(Street City State,Zip): tairtimAdivc6au�`�' k 11115d�CV 415 C tOOt) Cvnel�;1wl O9l V ' ‘(On *All Contractors&subcontractors must have a valid City of fe sion 1 e4�we / 1Date: Exp.L 1_, ")b Anacortes business license prior to doing work in the City. Business License#: Exp.Date: !� Contact the City's Finance Department at(360)299-1968. j5U�j j _..\--I C Is this work, associated with another project? Yes ❑ No If yes,specify: PROPOSED WORK: , 1 — 1 L v I declare under penalty of perjury that the in ormation 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 th City of Anacortes. Print Name i, Owner ❑ Agent',((sped ): Signature: Y Date: I t .1P1 MECHANICAL: Equipment Type: Appliance/Equipment Information(new and relocated): Total#: Furnace: Gas#: Elec#: Other#: Location(s): ,,,,,�CC Wall Heater: Gas#: Elec#: Other:#: Location(s): r4Gas Water Heater: #: Location(s): C___L;) Elec#: Other#: Location(s): Heat Pump: Air Conditioner/Handler: Elec#: Other:#: Location(s): Radiant/Hyddronic_Heating: Gas#: Flee#: 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#: Flee#: 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: 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-Serviee Line: Tub: Water Piping: Hand Sink: �C. lothes 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: TOTAL PLUMBING FIXTURES: