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Permit File 1120 10th Street
MECHANICAL PERMIT CITY OF ANACORTES PERMIT NO. : MEC96-0049 P.O. BOX 547 APPLIED: 05/21/96 ANACORTES, WA 98221 ISSUED: 05/21/96 (206) 293-1901 EXPIRES: 05/21/97 SITE ADDRESS: 1120 10TH ASSESSOR'S PARCEL NO. : 3772-059-012-0002 PROJECT DESCRIPTION: Gas furnace and piping — OWNER — CONTRACTOR THENO DEMOPOLIS LARSON HEATING, INC. 1120 10TH STREET 486 WEST HENNI ANACORTES WA 98221 OAK HARBOR WA 98277 293-6328 675-0538 LARSONI112ME TYPE OF WORK. . . :ADD BOILERS/COMPRESSORS- DOMES. INCIN • 0 TYPE OF USE •RES 0-3 HP • 0 COMML. INCIN •0 3-15 HP • 0 RELOC/REPAIR. . . : 0 FUEL TYPES 15-30 HP • 0 CLOTHES DRYERS. : 0 : /GAS/ / /: 30-50 HP • 0 GAS WTR HEATERS: 0 FURN < 100K BTU: 1 50+ HP • 0 STOVE, APPLI. . . : 0 FURN >=100K BTU: 0 AIR HANDLING UNITS-- FIRE LOG/LITE. . : 0 FURN - FLOOR. . . : 0 <= 10000 cfm. : 0 WOODSTOVES • 0 UNIT HEATERS. . . : 0 > 10000 cfm. : 0 OTHER UNITS • 0 VENT FANS • 0 EVAP COOLERS. . . : 0 GAS OUTLETS • 1 VENT SYSTEMS. . . : 0 HOODS • 0 VENT W/O APPLI. : 0 — FEES — NOTES Code Amount---- By- Date---- Receipt PRMT $ 40.75 MD 05/21/96 5418 TOTAL $ 40.75 I hereby acknowledge that I have read this permit and state that the above information is correct, and agree to comply with all ordinances and laws regulating activities covered by this permit. {0)��al iti20 A,...71,, Y f,, Issued by Applicat or Owner' Signature 24 Hour Notice Required For All Inspections mec_prmt, Rev: 06/11/92 Address `/zc `D £� Legal Descriptionfzae // f 4 ._ or. 71- Qc s ox/G� Assessors Account No. 377 .-, O57 — O/Z--tr:6 2 Permit No. Date Description Date Finaled 3qY fektoic 67(o4 ee,2) tog 325,b`/ fe,e6Jc etc ior beNyrki9)