HomeMy WebLinkAboutPermit File BLD-2019-0788 4501 Oakes Avenue 4 ' City of Anacortes Invoice/Permit#: BLD-2019-0788
904 6th Street
Applied date: 12/04/2019
P.O.Box 547 Issue date: 12/04/2019
'CO Anacortes, WA 98221-0547 Expire date: 06/01/2021
°`, ' -' �w: (360) 293-1901
Job Address: 4501 OAKES AVE Permit Type: Plumbing Permit
ANACORTES WA 98221-1128 Project:
APN: P56572
Remarks: Reroute water service
Owner: JI LU Contractor: CPI PLUMBING&HEATING
Address: 4501 OAKES AVE Address: 1900 RAILROAD AVE
ANACORTES WA 98221-1128 MOUNT VERNON WA 98273-4957
Phone: (206)250-2045 Phone: (360)428-5636
License#: CPIPLPH850MN
General Information: Fees:
#of Water Piping 1 Plumbing Permit Fee 27.00
Total Calculated: 27.00
Deposits/Receipts: 0.00
Total Due: 27.00
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAY@;, R IF.
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMEtID_;
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PRfflYI IC NS
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NO-Ti TFiE.
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE=OF€:l
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. '4'1 ;
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SI NATURE OF 9WNER ORAUTHORIZE6 AGENT ISSUED BY
or PLANNING,COMMUNITY,St ECONOMIC DEVELOPMENT E T DEPARTMENT
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Mailing Address:P O. Box 54 Anacortes, WA 98221
...,_.... PLUMBING IL MECHANICAL PERMIT APPLICATION
Office Location: 904 64 Street, Anacrortes WA 98t ?1
Phone: (360)293-1901
PLEASE REFER TO THE PLU fBI G&MECHANICAL PERMIT CI-EC 1ST FOR SUBMITTAL REK?unamENTs
PROJECT ADDRESS(Street,Suite#): a PARCEL(S)#: -P.OJECT VALUATION:,`.
Subdivision ,ot# RESIDENTIAL 4 COMMERCIAL 0
APPLICANT: Phone:
,(.)\ \1 l\ \.n ' \--"ic '1 ; 1 �t-- c\113 ,
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Address(Street,City,State,Zi ). mat A dress: ,
PROPERTY OWN�R: i. 1 Phone:
Address treet,City,State,Zip): mail A ress
QC,\ OCAS,ZS, ;tee f \21, ‘ M
CONTACT PERSON: one; NJ
Address(street,City,State,Zip): Email Address:
CONTRACT( :* W Phone:
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Address(Streeta City,State, .p),
Email Address:
*Ali Contractors titsribcontractors must`have a valid City of Professional License tense rcp,late:
Ani orte business license prior to doing work in the City. r it s 'ce se date:
Conttict the City's Finance Department at(36(p)29 -196 I'B� f • �� �t ,.a
Is this work,associated with another project? Yes l No ti If yes,specify:
PROPOSED WORK: ;3 .
I declare under penalty of perjury that the information I have provided on this fonn application is true,correct,and
complete,and that lent the property owner or duly authorized agent of the property owner to submit a permit
application to the City of Anacortes.
Print Name, Owner 0 Agent (specify);
Signature: Ditte: i
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Equipment Type: itcoPliaticetEquilonlent Information(new and relocated): Total#:
Furnace: Gas : Elec : Other : Location(s):
Wall Heater: Gas#€ Elec Other:#: Location(:s):
W : Location(s): ._..
Heat Pump: Elec#: Other : Location(s):
Air Conditioner/Handler: Elec#: Other:#: Location(s):
Radiant/Hytirtnaic Heating: ° Gas#: Elec 4: Other#: Locatiorn(s):
Exhaust Fans: Bath#: Laundry# Kitchen tk Other 4:
Range Hood: Type I or 2(Circle which one) Location(s):.
Fireplace: 1 Gas#: Elec : Other: : Location(s):
Clothes Dryer&Duet: Gas it: Flee : Other:##: tion(s):
Stove/Range/Oven: i Gas it: Flee Other:#: Location(s):
Refrigeration Unit: Flee#:' Other:# Location(s):
Location(s)
Boiler: Gas#1 Flee*: BTUs Location(s):
Other: #: Location(s):
C ?[ AQl�LET`
Fixture Type(new and relocated): Total#: Fixture Type(new and relocated): Total It:
Water Closet(Toilet): Refrigerator water supply(for N ater/ice dispenser):
Kitchen;Sink: Pressure Reduction alvve/Pressu Regulator
Utility Sink: V ter service l...
111111k1 ,
Water Piping: 1111111
Hand Sink:
Shower: Electric Water Heater: Tank-less? Yes El No El
Dishwasher: f ° acicflow Prevention Device:
Urinal: =I Hose Bib:
Floor Drain i Floor Sink: Drinking Fountain:
Hydronic Heat in: Floor o Wall Grease Irntercepttor
Otheir. Other:
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