HomeMy WebLinkAboutPermit File BLD-2020-0526 3808 W6th Street rr. Cityof Anacortes Invoice/Permit #: BLD-2020-0526
904 6th Street Applied date: 09/04/2020
': P.C�.Box 647 _ Issue date: 09/04/2020
1. s -01- Expire date: 03/03/2022 •
'a' (360) 293-1901
Job Address: 3808 W 6TH ST Permit Type: Mechanical Permit
ANACORTES WA 98271-1281 Project:
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APN: P107087
Remarks: REPLACE FURNACE FOR THE SAME AND ADD AN A/C UNIT.
Owner: PATRICK M SMEDILE Contractor: BARRON HEATING & A C
Address: 3808 W 6TH ST Address: 5100 PACIFIC HWY
ANACORTES WA 98221-1281 FERNDALE WA 98248-9080
Phone: (509) 826-6810 Phone: (360) 676-1131
License #:
General Information: Fees:
# Forced Air Furnace <=100k 1 Mechanical Permit Fees 48.95
# of Air Conditioning Units 1 Total Calculated: 48.95
Deposits/Receipts: 0.00
Total Due: 48.95
1 i i e'B 16'rant%P54i W-At-snaii of be construed to be a permit for, or approval of, any violation of this Code or any other ordinance or order of
tb2cp _ofjorba to/itr...fM U Oofi05#ti order, proclamation, guidance advice or decision of the Governor of this State. To the extent the issuance or
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BAR'R7HJ-RTIIY t`s` �;`7 .. t
f�'.`! 'r nrner, pros matiort guidance advice or GCcisio n C' tre Governor CT tnis estate, this permit snail `,� :1,rinC,ri7e Sw^n work ann snail not ne
vb�i&.- �'a l �h�1 Rk�i f rized to prevent occupancy or use of a structure where in violation of this Code, any other City ordinances of this
j fc4yQfl 1 a1)t:other ordinanr acg xecutive order of the City, or of any state or federal law, or of any order, proclamation, guidance advice or decision of
the GovetronorArasnpuilding officigI authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect,
it tiPate or incomplete information, or in violation of any City ordinance, regulation or order, state or federal law, or any order, proclamation, guidance or
dablgOK:oViNgoovernor. 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 e -. is application and know the same to
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
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SEP U 4 4°25 "
&,-, -� PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
°} PLUMBING & MECHANICAL PERMIT APPLICATION
Mailing Address:P.O. Box 547,Anacortes, WA 98221
'3�` 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#): PARCEL(S)#: PR JECT VALUATION:
r ,oe w-S-t Cdr 14 S aeCT Po f 'q Oe- 811 .03
Subdivision/Lot#: Pt-
RESIDENTIAL . COMMERCIAL ❑
p , Loy 1
APPLICANT: Phone:
�N1 r4 T t►` Ck 3(....0 - (0--f tp - (l 3 (
Address(Street,City,State,Zip): Email Address:
'S-7 00 PquFIc 14 w4 , FE-0o4c.5, w 4 q 13 Zif 3 Vt.4,.E.e.l,1v,b to #t , col►-,
PROPERTY OWNER: Phone:
P4Tkt.Ly . ''- t"lETj1 Le- S-09 -` 2to - (043/0
Address(Street,City,State,Zip): Email Address:
353O WEST GTO ST,t AcN�coi2-zESt c,J c 1EZZS N(A-
CONTACT PERSON: Phone:
t4-e4o_o►i 1-tC6-r t r.r( 3 C o - (p m e - 0 3 1
Address(Street,City,State,Zip): Email Address:
S t t>n pAu Fic f-hA)i.fr,o 3 , FN ryl,e t` t cl$Zjfg__ t�a+.•{�lK w be kQ-rrun kA-c., t rtt •Co•1.
CONTRACTOR:* Phone:
Biar42 2-0►`.1 (--eAt~c(Ncl (-2)(00) b c -c r 3 I
Address(Street,City,State,Zip): Email Address:
lot etc-tic-lc W4...)1 14Id31 F-eteN }v)(- , ctEZk$ I4,feet,q n b e (oa.n-,>,, h12.414.5 . Cu,,,,,,
*All Contractors&subcontractors must have a valid City of Professional License#: Exp.Date:
Anacortes business license prior to doing work in the City. ' E�� -07 f o 2 3 2a Zn
Contact the City's Finance Department at(360)299-1968. Business L -#: Exp.Date:
(Qoc�-OR7-2- iv9
Is this work,associated with another project? Yes ❑ No 1g If yes,specify:
PROPOSED WORK: t.I K E' c^1 K(N U 12-l i/k-C,. C heel-n/y G au 7
tAJ t Z'1-1- A/ C /+-2)0(71 o"f
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: F—AEG-k.I P l.A-(t-E L-( Owner ❑ Agent Lj (specify): is N H E/tr
Signature: Date: 11 t ) /2 V'2-r2