HomeMy WebLinkAboutPermit File 701 37th Street .s.J C? City of Anacortes Permit#: BLD-2006-0805
904 6th Street Issue date: 12/06/2006
`*new P.O.Box 547 Expire date: 12/06/2007
3° to: Anacortes, WA 98221-0547
(360) 293-1901
Job Address: 701 37TH ST Permit Type: Mechanical Permit
ANACORTES WA 98221-3461 Project:
APN: P56656
Remarks: Replace LPG gas boiler with a natural gas boiler, gas pipe.
Owner: NAT KNUTSON Contractor FOX PLUMBING& HEATING
Address: 701 37TH ST Address: 5303 KINGSWAY
ANACORTES WA 98221-3461 ANACORTES WA 98221-3021
Phone: (360) 588-8993 Phone: (360)293-6307
License#:
General Information: Fees:
#BOILERS< 100000 BTU 1 Mechanical Permit Fees 42.95
#of Gas Piping 1 Total Calculated: 42.95
Deposits/Receipts: 0.00
Total Due: 42.95
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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 HE PROVISIONS OF ANY OTHER
STATE
0—eta,R LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTR /2
SIGNATURE NER OR AUTHORIZEDISSUED( B ////
0 92... -2 0001 04, .fi2. 0 0.02 102
i1 -,.. 007935 .20.00
, QQ Engineering and Development Services
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PO Box 547,Anacortes,WA 98221
Telephone 360.293.1920
V r ._ Fax 360.293.1938
'"''t Art E-mail engineeringacitvofanacortes.orq
RIGHT-OF-WAY PERMIT APPLICATION
Submit this application with payment at least five days before the work starts. Please
complete both sides of this form. (City completes shaded sections.)
SITE PERMIT
LOCATION: 10 At)Q �t�r NUMBER: O
OWNER INFORMATION CONTRACTOR INFORMATION
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Name A .iwt Name
Address C+tr��- � �Q �a Address
City 1 -11 City
State � Zip 9 g Z Z ( State Zip
Telephone 3(n 0_ �Y� �i c(G Telephone
License Number
PROJECT INFORMATION
Work Includes (check all that apply)
❑ Curb Cut ❑ Water ❑ Sewer El Storm ❑ Gas ❑ Sidewalk
❑ Street Cut ❑ Phone ❑ Power - ❑ Cable ❑ Culvert
Describe Work: i1G(4 ( L(n)t In,ode_ ` ,, a-Acts-I-0Q S-ro AAA.
P iP6
PERMIT TYPE
❑ Curb Cut$50 ❑ Street Cut$50 ❑ inside Traveled Way$50 *Outside Traveled Way$20
SPECIAL REQUIREMENTS: Call 1.600.424.5555 two business.days before you dig. -
Work within the City Right-of-Way is permitted by approval of the City Engineer. All work in the right-of-
way must be bonded. The applicant and owner must use warning signs, traffic control, and barricades as
necessary to ensure public safety in the work area. The applicant and owner must restore the right-of-
way to previous condition. The applicant and owner are liable for damage to public and private property.
1t)
ty Application Approval Signature D to Applicant Signature Date
SITE DRAWING
1 . Show north arrow
2. Label streets
3. Draw plan
CONSTRUCTION INSPECTED A►ND APPROVED
City of Anacortes Inspector Date Permit Number
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