HomeMy WebLinkAboutPermit File BLD-2020-0540 3006 Meridian Court 0 ' City of Anacortes BLD-2020-0540
,, :: Invoice/Permit #: BLD2020
904 6th Street Applied date: 09/10/2020
''''"10111111ellsiw. , P.O.Box 547 Issue.date: 09/10/2020
Anacortes, WA 98221-0547
44,
1891 _ Expire date: 03/09/2022
(360) 293-1901
Job Address: 3006 MERIDIAN CT Permit Type: Mechanical Permit
ANACORTES WA 98221-4803 Project:
APN: P108679
Remarks: REPLACE GAS FURNACE FOR THE SAME.
Owner: SANTIAGO GARY R Contractor: FOSS HEATING AND COOLING
Address: 3006 MERIDIAN CT Address: 333 E BLACKBURN RD
ANACORTES WA 98221-4803 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
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.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
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Finance Department
020329-0002 Erin W. 09/10/2020 12:09PM
PERMITS AND INSPECTIONS
FOSS HEATING AND COOLING
BLD-2020-0535
Mechanical Permit
REPLACE GAS FURNACE FOR
THE SAME.
issued
2020 Item: BLD-2020-0535
Mechanical Permit Fees 36.30
Payment Id: 293255
FOSS HEATING AND COOLING
BLD-2020-0540
Mechanical Permit
REPLACE GAS FURNACE FOR
THE SAME,
issued
2020 Item: BLD-2020-0540
Mechanical Permit Fees 38.30
Payment Id: 293256
76.60
Subtotal 76,60
Fee FEE 1 .15
Total 77,75
03FINANCE CREDIT CARD 77.75
Visa ************3971
Ref=42223683932
Auth=07514
3971
1
Change due 0.00
Paid by: FOSS HEATING AND COOLING
Signature:
Thank you for your payment
COPY
DUPLICATE RECEIPT
gl. c) _ 2_020 - O D
n ir- q� G, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
UMBING & MECHANICAL PERMIT APPLICATION
7� 1 0 2020 Mailing Address:P.O. Box 547,Anacortes, WA 98221
cp 0 Office Location: 904 6rh Street, Anacortes WA 98821
or-
�--' Phone: (360) 293-1901, Fax: (360) 293-1938
Cal OF ,ANAG0RTES
PLEASE REFER TO THE PLUMBING&MECHANICAL PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS(Street,Suite#): Parcel(s)#:
3006 meridian court P108679
Subdivision/Lot#:
2 Residential Commercial ❑
APPLICANT: Phone: Fax:
FOSS HEATING AND COOLING 360-336-1517
Address(Street,City, State,Zip): E-Mail Address:
333 E BLACKBURN RD MT VERNON, WA 98273 orders@fossheating.com
PROPERTY OWNER: Phone: Fax:
Gary Santiago 360-630-9154
Address(Street,City,State,Zip): E-Mail Address:
3006 meridian court anacortes,wa 98221 gary@skagitcyclecenter.com
CONTACT PERSON: Phone: Fax:
see owner
Address(Street,City,State,Zip): E-Mail Address:
CONTRACTOR:* Phone: Fax:
see applicant
Address(Street,City, State,Zip): E-Mail Address
Contractor's License# Exp.Date:
*All Contractors&subcontractors must have a valid City of FOSSHCI983QA 11/1/2020
Anacortes business license prior to doing work in the City. Business License#: Exp.Date:
Contact the City's Finance Department at(360)299-1968. 001 9/30/2020
Is this work, associated with another project? Yes ❑ No 0 If yes,specify:
PROPOSED WORK:
REPLACE GAS FURNACE WITH LIKE
I declare under penalty of perjury that the information I 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: KYLE LAWRENCE Owner ❑ Agent VI(specify): WAREHOUSE
Signature: Date: 9/10/2020