HomeMy WebLinkAboutPermit File BLD-2020-0033 2209 24th Street City of Anacortes Invoice/Permit#: BLD-2020-0033
904 6th Street
Applied date: 01/23/2020
P.O.Box 547 Issue date: 01/23/2020
' Anacortes, WA 98221-0547
..*
(360) 293-1901 Expire date: 07/21/2021
Job Address: 2209 24TH ST Permit Type: Mechanical Permit
ANACORTES WA 98221-2478 Project:
APN: P109632
Remarks:
Owner: LIMBER PROPERTIES LLC Contractor: FOSS HEATING AND COOLING
Address: 2903 E 25TH 217 N Address: 333 E BLACKBURN RD
SPOKANE WA 99223 MOUNT VERNON WA 98273-9006
Phone: Phone: (360) 336-1517
License#:
General Information: Fees:
# Forced Air Furnace<=100k 1 Mechanical Permit Fees 38.30
Total Calculated: 38.30
Deposits/Receipts: 0.00
Total Due: 38.30
Permits and Insp...- BLD-2020-0033-2020
020030-002 i Ken Kna... 0 1/24/2020 O2:2 1 PM
6033- FOSS HEATING AND COOLING
-R4R-219089IFEMUMggi Nr.ireAND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF
eektScfr1k 3T1 1 OR WORK IVSOSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I
hp:Aptcii ,RF tTHAT I HAVE9FgAD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS
NOT, THE
Ggkewls.A OFF ADPEOI/ CES GOVERNING THIS TYPE rN DOES NOT PRESUME TO GIVEOF AUTHOORITYILL TO VIOLA EBEPLIED OR CANCEWITHL THETED PROVISIONS HER IOF ANY OTHHEEINOER STATE OR
LOCAL LAW RE ULATIN ION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNAT 1`t O R AUTHORIZED AGENT
/ ISSUED BY
II
li
PLANNING, COMMUNITY, & :ECONOMIC DEVELOPMENT DEPARTMENT
x . ' PLUMBING MECHANICAL PERMIV APPLECkk.riON
Mailing Address. P.O. Box 5-17, Anacortes, WA 98221
Office Location 90-f 6" Street, Anacortes WA 98821
Phone (360) 293-1901, Fax: (360) 293-1938:
PLEASE REFER TO THE PLUMBING &MECHANICAL PERMIT CHECKLIST FOR;SUBMITTAL REQUIREMENTS
PROJECT ADDRESS (Street, Suite #): Parcel(s) #:
7 .� t (01672
Subdivision/Lot
Residential r Commercial ❑
APPLICANT:
9) Phone: Fax:
Address (Street, City, State., Zip):. - ' E-Mail Address:
3 f cr jtivii 172-7 3 r 0,4
PROPERTY AVNER: Phone: Fax{
i
u- C
Address.(Street, City, State,Zip):. E-Mail Address:
CONTACT PERSON: Phone: Fax::
Address (Street, City, State, Zip):p) E-Mail<Address:
CONTRACTOR:*TOR:* Phone: Fax:
(;er
Address (Street City, State .Zi . � :
�i p� E-:Mail.Address
*All Contractors& subcontractors must have a valid City of Contractor's License # Exp. Date:
Anacortes business license°prior to doing work in the City.. c '
Business License#: Exp. Date:
Contact the.City's Finance ance:Department°at (360) 299-1968.
Is this work, associated with another project? Yes El: No If yes, specify:
PROPOSE', WORK:
Y.i may' `-'-d- t-e e'.�.x Q,ic:4r-L,. { 9 } ,, 71- '
I declare under penalty of perjury that the information 1 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: fr ( Owner 0 Agent s peci
Signature:.' Date I 7 '10 Z-C
MECHANICAL: T.
Equipment Type Appliance/Equipment Information (new and relocated): Total #:
Furnace: Gas_#IElec #_Other:. # BTUs: <100k >l00kLocation(s).
Wall.Heater: Gas # _Elec #___Other: # BTUs: <l00k>100k_Location(s)
Air Handler_ Gas:#__E1ec # Other # BTUs: <I00k>100k Location(s)
Water:Heater: Gas # Elec .# Other..: # BTUs: <100k>100k Location(s).
AC Unit /Boiler
Hear Pump/ Roof Gas #_Elec#^__Other: # BTUs: <100k, 100k-500k, 500k-
Top Unit (Circle 1Mil HP:. . <3., 3-1`5,_15-30 Location(s)
selected):
Hydronic Heating: Gas #_:.E1ec #_In-Floor . Wahl Radiant!Boiler BTUs: Location -
Exhaust Fans Bath# Kitchen# Laundry# Other:
(single duct):
Fireplace /Insert: Gas#__Elec #_.Other # Location(s)
Stove/Range/Oven: Gas # Elec#_Other:_,## Location(s)
Range.Hood: # Location(s)
Refrigeration. Unit Gas# E1ec.# Other:_# Location(s)
Outdoor BBQ Gas ##Elec#__Other: # Location(s)
Clothes Dryer &Duct: Gas.#,_Elect.# Other:_#.. Location(s)
Gas Piping;: # Location(s).
Other: # Location(s)
Location(s)
TOTAL OUTLETS: t
PLUMBING FIXTURES:
Fixture Type (new and relocated).: Total:# Fixture Type (new and relocated).: Total #:.
Water:. Closet (Toilet):) Pressure Reduction Valve/Pressure Regulator:
Urinal: Backflow Prevention Device
Sink(kitchen, laundry,- lavatory, hand, bar, slop;
eye wash, etc.): Water Service Line:
Tub/Shower: Drinking Fountain:
Dishwasher..: Clothes Washer:
Hose Bib: Hydronic Heat in: Floor 0 Wall 0
Water Heater Heater Tankless? Yes 0 No D Grease Interceptor:.
Floor Drain/Floor Sink Water Piping:
Refrigerator water.supply (for water/ice
dispenser): Other:
TOTAL OUTLETS: TOTAL OUTLETS: