HomeMy WebLinkAboutPermit File 3706 4th Street --s.rF City of Anacortes Invoice/Permit#: BLD-2017-0115
904 6th Street
Applied date: 03/03/2017
P.O.Box 547
V WA 98221-0547 Issue date: 03/03/2017
Anacortes,
Expire date: 08/30/2018
•.
(360) 293-1901
Job Address: 3706 W 4TH ST Permit Type: Mechanical Permit
ANACORTES WA 98221-1240 Project:
APN: P100046
Remarks: Installing new refrigeration unit.
Owner: TURNER DONALD L Contractor: BARRON HEATING &A C
Address: 3706 W 4TH ST Address: 5100 PACIFIC HWY
ANACORTES WA 98221-1240 FERNDALE WA 98248-9080
Phone: Phone: (800)328-7774
License#: BARROHA179D7
General Information: Fees:
#of Other Mechanical Units 1 Mechanical Permit Fees 34.15
�� _•/i � Total Calculated: 34.15
�J�1 Deposits/Receipts: 0.00
Total Due: 34.15
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, 41p Fr 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 I IR VI IOtVS
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN Oi't NOT; TWE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE::3R
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. .i .
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SIGNATURE OF OWNER OR AUTHORIZED AGENT IS Z —�
BARRON HEATING FERNDALE,WASHINGTON 080367
Anacortes, City Of Check Date: 2/27/2017 Check No,: 80367
INVOICE NO. INVOICE DATE REFERENCE GROSS DISCOUNT NET AMOUNT
17-10309, 30-00
Total
30,60
BARRON HEATING FERNDALE,WASHINGTON 080076
Check Date: 1118/2Q17 Check No.: :II •
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INVOICE NO
Anacortes, NO
Of GROSS
DISCOUNT o AMOUNT
. INVOICE DATE
53.10
17-10096 f is- pv., cc �„�,,..�
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Pc-CAA-141
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. 080367
BARRON HEATING FERNDALE,WASHINGTON
Anac Check Date: 2/27/2017 Check No.: 80367
INNVOIVOI CE NO.City Of
INVOICE DATE REFERENCE
GROSS DISCOUNT NET AMOUNT
00
17-1a3a9 :
,., ,
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/C2T4c t!e"ving o2ecir--00
17,100
occcom ciP i t4./5 luAeyds .
+hiss per m(1 • p tea%e. ' ,-12.2__ ',C, 44c. 4; L ilia--'.v.sf,* : ! .
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S HANK L PERMIT APPLICATION
f City of Anacortes Building Department
f- tui lit. ;t Anacortes,WA 98221 -Street Address:904 6tt'jStreet
ione:(360)293-1901 Fax: (360)293-1938
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YL-ft• 0 -1-th SA- AnseccriezIwe t 90zzi'
A IC VC PROJECT DESCRIPTION
0 New Work
Address
Alteration
City/State/Zip
- ,`� • I -
Phone -(O76 tf"3/ elejfir 64I-37/3 Permit Fee 11 23.50
State License#I.,atithts1• id4�/ _Exp I�rE Type of Equip. Fee Each No. Amount
City of Anacortes Business License:U.0Yes o No Air Cond.Unit 10.65 PROPERTY OWNER OWNER Refrigeration Unit 10.65 , 1 10kCi5,
Naas � (1 ..� 1� 1. • Tt�r�� Forced Air System 14,80
Address 39-0t0 t,3 -4 ter- 1
ram2�f Floor Furnace 14.80
11`
City/State/Zip �jlf[��CJ1 f) — Wall Heater 14.80
t
Phone 30-p1. Sf- ' (p FAX Clothes Dryer 10.65 t
E-mail Address _
Ventilation Fan 7.25 '
APPLICANT 1 Range Hood 10.65 _
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Name j 1 `C e�- Gas Fireplace 10.65 j -
�- `�1 9
Address ��� 13" ��r 1 4- 1�1 Gas Water Heater 10.65
City/State/Zip ��_ f(9 t�Tat p- - Gas Piping 4.75 II
- -
3W e-n9 FAX ( r�r Other(Describe)
Phone "
4Ct
E-mail Address AdQ CONTACT TOTAL FEES DUE 3L.�` 15 II�
,{, IC `7Dp� *-A 'ham y. 1' ec:'e. tin +a
Name "� -1 '�`1"�� '��
n� }� 1 I s
Address� 1' YG-. 41 l ^,
CityiStateizi �l� Q f � q
Phone 0_1 ('0 IS"/ FAX --- ,r. T13
E-mail Address Nani.tde Y ,y Can
I HEREBY ACKNOWLEDGE I HAVE READ THIS PERMIT APPLICATION AND STATE THE INFORMATIO, IS CORRECT,AND AGREE
TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING ACTIVITIES COVERED THIS PERMIT
APPLICATION. WITH THIS PERMIT ALL CONTRACTORS AND SUBCONTRACTORS SHLL HAVE A CUR ENT WASHINGTON
STATE CONTRACTORS LICENSE AND A CITY BUSINESS LICENSE.STOP WORK ORDERS WILL BE IS LIED ON JOB SITES
WHERE CONTRACTORS/SUBC li TRACTORS ARE WORKING WITHOUT PROPER LICENSE.
— �, DATE
Last Updated No,v.9,2012
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MECHANICAL PERMIT APPLICATION
City of Anacortes Building Department
P.O. Box 547 Anacortes,WA 98221 -Street Address: 904 6th Street
Phone:(360) 293-1901 Fax: (360)293-1938
SITE ADDRESS: 3 C 4th sk. a*z,(i3 gezzl
CONTRACTOR
Name (7ht �C: •� � _ PROJECT DESCRIPTION
Address
510D (�IT c `o3 ❑ New Work
.�1 �,
T�ry Alteration
City/State/ZiprGf1Ia&1Q , Ci -fa
Phone 3(00-(276//3/ FAX z� j—3713 Permit Fee � 23.50 •
State.License fkr(Qhsti 'ia4 Exp I 1418 Type of Equip. Fee Each No. Amount
City of Anacortes Business Licenseiw‘s. ❑No Air Cond.Unit 10.65
PROPERTY OWNER p Refrigeration Unit 10,65 t ‘ ( �4
Na e D C -'T--i--.• 1 ..fried Forced Air System 14.80 _
Address 3 +C)(o l3 —4-Airt '1 Floor Furnace 14.80
City/State/Zip ArY srAtC I k . CiS aa!{ Wall Heater 14.80
Phone a54_St(Q FAX Clothes Dryer 10.65
E-mail Address Ventilation Fah 7.25
APPLICANT Range Hood 10.65
Name eRGer \ "41+ 1 I, IC— \rf . Gas Fireplace 10.65 ) ,
Address § fX e t Q{C �� 0�/Jp Gas Water Healer 10.65
City/Stale/Zip ef'1C L I_LAA ( 9 - io Gas Piping 4.75 I '
Phone J�"t 7 -�/19 FAX_E_ IA J ____� F__ Other(Describe)
E-mail Address +Q[11:.tt 1C * `fOf (1G,.00M �j
CONTACT v TOTAL FEES DUE 1 3`l ry I s
Name�'(+PYI t Cec �'Czr-' Nen e ir1 ,,.-. 14. 1�? CC`(' 1 t�r1 CCC-`�`7
Address 'SCI?. �L 1c.v�l.c. ("0� los ��
rL f' 30 . C� j
City/State/ZI
k
Phone 3r 17%) AV FAX rb71^37/9 i
`
E-mall Address J r 0.41- L WV)
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I HEREBY ACKNOWLEDGE I HAVE READ THIS PERMI APPLICATION AND STATE THE INFORMATION IS CORRECT,AND AGREE
TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING ACTIVITIES COVERED By HIS PERMIT
APPLICATION. WITH THIS PERMIT ALL CONTRACTORS AND SUBCONTRACTORS SHLL HAVE A CUR, ENT WASHINGTON
STATE CONTRACTORS LICENSE AND A CITY BUSINESS LICENSE.STOP WORK ORDERS WILL BE ISSUED ON JOB SITES
WHERE CONTRACTORSfSUBC• TRACTORS ARE WORKING WITHOUT PROPER LICENSE.
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T-hreial/C97cCif
APP ;.al- "7�r - ` DATE /
I
Last Updated No,v.9,2012 I
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Department of Labor and Industries BARRON HEATING &AJC INC
PO Box 44450
Olympia, WA 98504-4450 Reg: CC BARROHA179D7
UBI: 600-092-564
Registered as provided by Law as:
Construction Contractor
(CC01) - GENERAL
612
BARRON HEATING &A/C INC Effective Date: 3/27/1983
5100 PACIFIC HWY. #103 Expiration Date: 10/23/2018
FERNDALE WA 98248