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HomeMy WebLinkAboutPermit File BLD-2019-0706 2214 Minnesota Avenue Y Q Cityof Anacortes Invoice/Permit#: BLD-2019-0706 904 6th Street Applied date: 10/28/2019 `'"•' P.O.Box 547 -OP Anacortes, WA 98221-0547 Issue date: 10/28/2019 Expire date: 04/25/2021 xIT (360) 293-1901 Job Address: 2214 MINNESOTAAVE Permit Type: Mechanical Permit ANACORTES WA 98221-4536 Project: APN: P114111 Remarks: Replace natural gas furnace for the same. Owner: RAYMOND OTIS MEGILL Contractor: BARRON HEATING&A C Address: 2214 MINNESOTAAVE Address: 5100 PACIFIC HWY ANACORTES WA 98221-4536 FERNDALE WA 98248-9080 Phone: (206) 303-9106 Phone: (360)676-1131 License#: General Information: Fees: #of Gas Water Heaters<= 100k 1 Mechanical Permit Fees 38.20 Total Calculated: 38.20 Deposits/Receipts: 0.00 Total Due: 38.20 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 Permits and Insp... - BLD-2019-0706 - 2019 019455-0003 Carla Br... 11/08/2019 08:40AM 12532 - BARRON HEATING & A C BLD-2019-0706 Mechanical Permit Payment Amount: 38.20 Transaction Amount: 38.20 CHECK: 090475 13L0 - 2 6 0 _ OlO 2L A9G, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT PLUMBING & MECHANICAL PERMIT APPLICATION 7- rs' Mailing Address:P.O. Box 547, Anacortes, WA 98221 "IC`0- 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: 2214 Minnesota Avenue P114111 $4,718 Subdivision/Lot#: RESIDENTIAL li 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: Ray&Susan Megill 206-303-9106 Address(Street,City,State,Zip): Email Address: 2214 Minnesota Avenue,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#: Date: 10/2 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 RI 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 RI (specify): Barron Heating Signature: I V ) Date: 10/25/2019 MECHANICAL: Equipment Type: Appliance/Equipment Information(new and relocated): Total#: Furnace: Gas#: 1 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): .. r-,. � ,' © 'WAIL,--1�1�`� �G �� `/ L j tl��q y(-; -s'i 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: • -i ,? E y A A' A:: C t ,. er' i u [ fi aA� O) Ta 71 F'' ''''.-1--.p i r 'P3 D : � �,,E" f' xarrr " '! ii' � m! `t iv,' w 1'014 _ 0 V' r .' i 0