HomeMy WebLinkAboutPermit File BLD-2020-0723 1201 37th Street 0 Cityof Anacortes
Invoice/Permit #: BLD-2020-0723
'
\ l_ 904 6th Street
Applied date: 11/17/2020
P.O.Box 547 Issue date: 11/17/2020
; Anacortes, WA 98221-0547
1891 (360) 293-1901 Expire date: 05/16/2022
Job Address: 1201 37TH ST Permit Type: Mechanical Permit
ANACORTES WA 98221-4236 Project:
APN: P57103
Remarks: Install heat pump
Owner: CURWICK DAVID W Contractor: FOSS HEATING AND COOLING
Address: 1201 37TH ST Address: 333 E BLACKBURN RD
ANACORTES WA 98221-4236 MOUNT VERNON WA 98273-9006
Phone: Phone: (360) 336-1517
License #: FOSSHCI983QA
General Information: Fees:
# of Heat Pumps <= 3 Hp 1 Mechanical Permit Fees 38.20
Total Calculated: 38.20
Deposits/Receipts: 0.00
Total Due: 38.20
•
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
Y G `, Cityof Anacortes
Invoice/Permit #: BLD-2020-0723• ' 904 6th Street
;` Applied date: 11/17/2020
•••••• '41•1111111evol;r" P.O.Box 547 Issue date: 11/17/2020
: Anacortes, WA 98221-0547 Expire date: 05/16/2022
r'
1891 '_/,. p
It Er
LL. Cr (360) 293-1901
Job Address: 1201 37TH ST Permit Type: Mechanical Permit
ANACORTES WA 98221-4236 Project:
APN: P57103
Remarks: Install heat pump
Owner: CURWICK DAVID W Contractor: FOSS HEATING AND COOLING
Address: 1201 37TH ST Address: 333 E BLACKBURN RD
ANACORTES WA 98221-4236 MOUNT VERNON WA 98273-9006
Phone: Phone: (360) 336-1517
License #: FOSSHCI983QA
General Information: Fees:
# of Heat Pumps <= 3 Hp 1 Mechanical Permit Fees 38.20
Total Calculated: 38.20
Deposits/Receipts: 0.00
Total Due: 38.20
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
I - _
't Y v PLANNING,COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
PLUMBING & MECHANICAL PERMIT APPLICATION
,t `Mailing Address:P.O. Box 547,Anacortes, WA 98221
Office Location: 904 6th Street,Anacortes WA 98821
Phone: (360)293-1901
PLEASE REFER TO THE PLUMBING&MECHANICAL PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS(Street,Suite#): PA CIE(S)#: P OJECT VALUATION:
P 0 / 37 +-11 5 tic 7r 0 3 g,. -7 t y, a 6-
Sabdivision/Lot#: RESIDENTIAL A COMMERCIAL ❑
APPLICANT: Phone:
FOSS j y niC c(tr,t2 (3C`o)33‘-- ! 5/ 7
Address(Street,City,State,Zip): Email Address:
333 E I. Sfe,: ! 't, v,xned 6,4 p 73 6r cr 5 fccf ;.& t &y
PROPERTY OWNER: Phone:
vc cfris w clz (3(0)273- 2 c
Address(Street,City,State.Zip): Email Address:
I26I a374-h �f ",s Wf� .d Ar,a�ot T .1
CONTACT PERSON:Andy v..55t Phone: .
Address(Street,City,State,Zip): Email Address:
33 3 5/ae4 / -n Rd 51-0., ,q /1 , tier rien lot f433 Q r...gec< fot ni t r`'x , (6,41
CONTRACTOR:* Phone:
$ s t 11cei.0 -
Address(Street,City,State,Z p Email Address:
*All Contractors&subcontractors must have a valid City of Professionrosch,al License#: Exp.Date:
Anacortes business license prior to doing work in the City. CJ 11//12: ›
Contact the City's Finance Department at(360)299-1968. Busin6:65ess Lic en se#: Exn.Date:
Is this work,associated with another project? Yes ❑ No)4 If yes,specify:
PROPOSED WORK: i h d it p vrr,p..
I declare under penalty of perjury that the information I have provided on this fouii/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: A i d r f` e If Owner 0 Agent jEl(specify): ro$$' tr
Signature: ✓ " Date:_ 11/16f 2-a":_O