HomeMy WebLinkAboutPermit File BLD-2020-0247 1913 29th Place ��/!l :: 6 ),Q of AnacotesInvoice/Permit #: BLD-2020-0247
904 6th Street Applied date: 05/06/2020
, 1"11111111elwrP.O.Box 547
•QtyIssue date: 05/06/2020
�' Anacortes, WA 98221 -0547
1891 Expire date: 11/02/2021
(360) 293-1901
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Job Address: 1913 29TH PL Permit Type: Mechanical Permit
ANACORTES WA 98221-3871 Project:
APN: P122610
Remarks: REPLACE 2 GAS WATER HEATERS IN THE GARAGE.
Owner: MCCLURE MICHAEL J Contractor: CPI PLUMBING & HEATING
Address: 1913 29TH PL Address: 1900 RAILROAD AVE
ANACORTES WA 98221-3871 MOUNT VERNON WA 98273-4957
Phone: Phone: (360) 428-5636
License #:
General Information: Fees:
# of Gas Water Heaters <= 100k 2 Mechanical Permit Fees 52.90
Total Calculated: 52.90
Deposits/Receipts: 0.00
Total Due: 52.90
The issuance or granting of this permit shall not be construed to be a permit for, or approval of, any violation of this Code or any other ordinance or order of
the City, of any state or federal law, or of any order, proclamation, guidance advice or decision of the Governor of this State. To the extent the issuance or
granting of this permit is interpreted to allow construction activity during any period of time when such construction is prohibited or restricted by any state or
federal law, or order, proclamation, guidance advice or decision of the Governor of this State, this permit shall not authorize such work and shall not be
valid. The building official is authorized to prevent occupancy or use of a structure where in violation of this Code, any other City ordinances of this
jurisdiction or any other ordinance or executive order of the City, or of any state or federal law, or of any order, proclamation, guidance advice or decision of
the Governor. The building official is authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect,
inaccurate or incomplete information, or in violation of any City ordinance, regulation or order, state or federal law, or any order, proclamation, guidance or
decision of the Governor. This permit becomes null and void if work or construction authorized is not commenced within 180 days or if construction work is
suspended or abandoned for a period of 180 days at any time after work is commenced. I have read and examined this application and know the same to
be true and correct. "'}
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SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED B ✓
\:1,-;m10011,87ri
Finance Department
020179-0011 Erin W. 05/12/2020 03:14PM
PERMITS AND INSPECTIONS
CPI PLUMBING & HEATING
BLD-2020--0247
Mechanical Permit
REPLACE 2 GAS WATER
HEATERS IN THE GARAG
issued
2020 Item: BID-2020-0247
Mechanical Permit Fees 52.90
Payment Id: 281621
52.90
Subtotal 52.90
Fee FEE CL79
Total 53.69
03FINANCE CREDIT CARD 53,69
Visa ************2973
Ref=41998408445
Auth.05079G
2973
1
Change due 0.00
Paid by: Brad Tully
111111111111111111111111111101110111111111
Signature:
Thank you for your payment
COPY
DUPLICATE RECEIPT
P2L1) - 9 d 2.0 - 02t-17
, ,,... .
- nji !4�` Y,.. ir:, .,,,„..,,,,, , PLAN ;IP COMMUNITY' ECONOMIC DEVELOPME 'T DEPARTI� T i.. r `�.r i; r
PLUMBING E ► . PERMIT APPLICATION ' _
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a��i` Mailing Address: P.O. Box 547, Anacortess, WA 9 221 '' flAy '
C V'!' Office Location: 90467r' Si;eet, 4naco3-res WA 98821 � E 1
,gyp Phone: (360) 293-19C11 --
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PLEASE REFER TO THE, %1WRING & MECHANICAL PERMIT CHECKLIST FOR SUBMITTAL REQUIREMEN7S .:
PROJECT ADDRESS ( t et uite # : P . CE (S) #• PROJECT VALUATION:
Subdivision/Lot 4:
RESIDENTIAL COMMERCIAL 0
APPLICANT: Phone: i
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x
Address (Street, City, State. Zip): ; Email Address:
PROPERTY OWNER: ! Phone:
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Address (Street, City. State, Zip): Email Address:
COW ACT P S>�. � \\)diei Phone:
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Address (Street, City Slate, Zip): Email Adress-
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C �� C r Phone:
A fires Stye t, (,tty, t�.t Zip): Email Address:
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csrc
t , 60 AA
l P oIf 4siona9 L�ense#: Exp. Dat :
.II Contractors subcontractors must have e a valid Ct c tu rvtA�cl
Anacortes.business license prior to doing work in the City.
Contact the: Cityy.s Finance Department ent at (3600 2994968.
1 usiness License#: Exp. Dat :
1 Is this work, associated with another project? Yes 0 No 1 If yes, specify:
IPROPOSED WORK:
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I declare under penalty of penury that the information I have provided on this form/application is true, correct, and
complete, and that 1 am the property owner or duly authorized agent of the property owner to submit a permit
application to the City of.Anacorte .
•
Print Name: c Owner 0 Agent (specify):e .
,(40Y
Signature. _._ date: _ \ A- -
MEC:HA' C.CAL:
Equipment Type: Appliance/Equiptnent Information (new and relocated): Total #:
Furnace: Gas#: Dec 14: Other#: Location(s):
r I
Wall Heater: i Gas*: Elec#: Other: #: Location(s):
Gas Water Heater: #: 2,,, Location(s): 6(DH
CIO ,,'
Flee #: Other#: Location(s):
Beat Pump:
Air Conditioner/Handler: Elec #: Other: #: Location(s):
Radiant iHydronic Heating: Gas 4: Elec#: Other:#: Location(s):
Exhaust Fans: Bath #: Laundry#: Kitchen#: Other#:
.
Range Hood: #: Type I or 2 (Circle which one) Location(s):
Fireplace: Gas 4: Elec#: Other: #: Location(s):
Clothes Dryer &Duet: I Gas#: Eke 14: Other: #: Location(s):
Stove/Range/Oven: Gas #: Eke#: Other: #: Location(s):
Refrigeration Unit: Elec #: Other: #: Location(s): 1 I
Gas Piping/Outlet(s): #: Location(s):
Boiler: Gas #: Flee #: BTUs: Location(s): •
Other: #: Location(s):
TOTAL MECHAN
ICAL U: 'LET :
PI LMBIG FIXTURES.
Fixture Type(new and relocated): ' Total#: Fixture Type (new and relocated): Total #:
Water Closet(Toilet): ! Refrigerator water supply (for wateriice dispenser):
Kitchen Sink: Pressure Reduction Valve/Pressure Regulator:
Utility Sink: E Water Service Line:
r
Tub: Water Piping:
Hand Sink: Clothes Washer:
Shower: Electric Water Heater: Tank-less? Yes 0 No 0
Dishwasher: I Baeldlow Prevention Device:
Urinal: Hose Bib:
Floor Drain /Floor Sink: : Drinking Fountain:
Hydronic Heat in: Floor 0 Wall. u _ Grease Interceptor:
4 4 "
Other: Other:
TOTAL PLUMBING FIXTURE& _, .