HomeMy WebLinkAboutPermit File 1109 16th Street 0709504-1 0001 04105/2007 002 4 i i 6
}ZTLY O City of Anacortes Permit Fees 006191 $67.00
Permit#: BLD-2007-0244
904 6th Street Issue date: 04/05/2007
P.O.Box 547 Expire date: 04/04/2008
`,,�'` CO: Anacortes, WA 98221-0547
Job Address: 1109 16TH ST Permit Type: Reroof Single Family Residence
ANACORTES WA 98221-2222 Project:
APN: P55214
Remarks: Remove existing material install 1/2"CDX, 301b felt and 30 year comp.
Owner: CECIL CUSHMAN Contractor: SAVAGE ROOFING INC
Address: 5306 STERLING DR Address: PO BOX 336
ANACORTES WA 98221-3038 ANACORTES WA 98221-0336
Phone: (360) - Phone: (360)293-2021
License#: SAVAGRI114P0
General Information: Fees:
Building Valuation 6967 Building Permit Fee 62.50
State Building Code Fee 4.50
Total Calculated: 67.00
Deposits/Receipts: 0.00
Total Due: 67.00
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 PROVISIONS OF ANY OTHER
STATE OR LOCAL LAW REGULATING CONSTR ION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATUf�E OF O 'N 0 IZED AG ISSUED BY
MECHANICAL PERMIT
CITY OF ANACORTES PERMIT NO. : MEC96-0008
P.O. BOX 547 APPLIED: 01/09/96
ANACORTES, WA 98221 ISSUED: 01/09/96
(206) 293-1901 EXPIRES: 01/09/97
SITE ADDRESS: 1109 16TH
ASSESSOR' S PARCEL NO. : 3772-052-006-0005
PROJECT DESCRIPTION: Gas Furnace and Piping
— OWNER — CONTRACTOR
WALTER PETERSON LARSON HEATING, INC.
1109 11TH STREET 486 WEST HENNI
ANACORTES WA 98221 OAK HARBOR WA 98277
293- 675-0538
LARSON I112ME
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 01/09/96 4874
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.
Issued by Appp icOct or Owner' s Signature
24 Hour Notice Required For All Inspections
mec prmt, Rev: 06/11/92
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LEGAL DESCRIPTION
ASSESSORS ACCOUNT NO.
PERMIT NO. DATE DESCRIPTION DATE FINALED
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