HomeMy WebLinkAboutPermit File BLD-2019-0793 2319 24th Street City of Anacortes Invoice/Permit#: BLD-2019-0793
904 6th Street
Applied date: 12/06/2019
`'"� P.O.Box 547
Issue date: 12/06/2019
3' 'ts r Anacortes, WA 98221-0547
(360) 293-1901 Expire date: 06/03/2021
Job Address: 2319 24TH ST Permit Type: Mechanical Permit
ANACORTES WA 98221-2486 Project:
APN: P110566
Remarks: Install gas furnace like for like
Owner: JIM MAHAN Contractor: BARRON HEATING &A C
Address: 2319 24TH ST Address: 5100 PACIFIC HWY
ANACORTES WA 98221-2486 FERNDALE WA 98248-9080
Phone: (206) 356-4840 Phone: (360)676-1131
License#: BARROHA179D7
General Information: Fees:
#Forced Air Furnace> 100K 1 Mechanical Permit Fees 41.70
Total Calculated: 41.70
Deposits/Receipts: 0.00
Total Due: 41.70
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 PROVI ONS OF ANY OTHER STATE OR
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED
-V. C� City of Anacortes Invoice/Permit#: BLD-2019-0793
904 6th Street
`_ 6/2019
P.O.Box 547
6/2019
0 Anacortes, WA 98221- 3/2021
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(360) 293-1901
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Job Address: 2319 24TH ST gli011041taiNt' i
ANACORTES WA 98221-2486 iy 14Y 1
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APN: P110566 ,'0 . .•^
Remarks: Install gas furnace like for like
Owner: JIM MAHAN Finance Department
Address: 2319 24TH ST 019525-0012 Lee M. 12/27/2019 01 :13PM
ANACORTES WA 98221-2486 PERMITS AND INSPECTIONS )80
BARRON HEATING & A C
Phone: (206) 356-4840 BLD-2019-0793
Mechanical Permit
Install gas furnace like
General Information: for like
#Forced Air Furnace> 100K 1 issued 41.70
2019 Item: BLD-2019-0793 41.70
Mechanical Permit Fees 41 .70 0.00
Payment Id: 268483
41.70
41.70
Subtotal 41.70
Total 41.70
CHECK 111 ,70
Check Number091079
Change due 0.00
Paid by: BARRON HEATING & A C
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THIS PERMIT BECOMES NULL AND VOID IF WORK OF h0 )+"� WITHIN 180 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDO NORK IS COMMENCED. I
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THI: Thank you for your paymentORRECT.ALL PROVISIONS
OF LAWS AND ORDINANCES GOVERNING THIS TYPE C ED HEREIN OR NOT, THE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE OF ANY OTHER STATE OR
LOCAL LAW REGULATING CONSTRUCTION OR THE PERF( COPY
DUPLICATE RECEIPT
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED�(
` gb PLANNING,COMMUNITY,&ECONOMIC DEVELOPMENT DEPARTMENT
4
PLUMBING & MECHANICAL PERMIT APPLICATION
Mailing Address:P.O. Box 547,Anacortes, WA 98221
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:
2319 24th Street P110566 $3,363
Subdivision/Lot#: RESIDENTIAL ® COMMERCIAL 0
APPLICANT: Phone:
Barron Heating 360-876-1131
Address(Street,City,State,Zip): Email Address:
5100 Pacific Highway Suite 103, Ferndale,WA 98248 kaylissad@barronheating.com
PROPERTY OWNER: Phone:
Jim Mahan 206-356-4840
Address(Street,City,State,Zip): Email Address:
2319 24th 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 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 IN (specify): Barron Heating
Signature: 1��y� Date: 12/06/2019