HomeMy WebLinkAboutPermit File BLD-2020-0742 1901 24th Street _ `1
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Invoice/Permit #: BLD-2020-0742
904 6th Street
'1101111114eamor„ Applied date: 11/30/2020
P.O.Box 547 Issue date: 11/30/2020
f' +C Anacortes, WA 98221-0547
,$9, } Expire date: 05/29/2022
' , ��: (360) 293-1901
Job Address: 1901 24TH ST Permit Type: Plumbing Permit
ANACORTES WA 98221-2403 Project:
APN: P57633
Remarks: Install 50 gal.electric water heater
Owner: CARRIE E MACREADY . Contractor: FOSS HEATING AND COOLING
Address: 1901 24TH ST Address: 333 E BLACKBURN RD
ANACORTES WA 98221-2403 MOUNT VERNON WA 98273-9006
Phone: (360) 391-9002 Phone: (360) 336-1517
License #: FOSSHCI983QA
General Information: Fees:
# of Water Heaters 1 Plumbing Permit Fee 27.00
Total Calculated: 27.00
Deposits/Receipts: 0.00
Total Due: 27.00
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
020409-0030 Erin W. 12/01/2020 02:56PM
PERMITS AND INSPECTIONS
FOSS HEATING AND COOLING
BLD-2020-0742
Plumbing Permit
Install 50 gal .electric
water heater
issued
2020 Item: BLD-2020-0742
Plumbing Permit Fee 27.00
Building Permit Fee 0.00
Payment Id: 300863
27.00
Subtotal 27.00
Fee FEE 0.41
Total 27.41
03FINANCE CREDIT CARD 27.41
Visa ************9774
Ref=42381032355
Auth=08995O
9774
1
Change due 0.00
Paid by: FOSS HEATING AND COOLING
I1 1MIN1111111111111M11101111111111101
Signature:
Thank you for your payment
COPY
DUPLICATE RECEIPT
G\T Y O� PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
PLUMBING & MECHANICAL PERMIT APPLICATION
Mailing Address:P.O. Box 547, Anacortes, WA 98221
, color 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)#: PROJECT VALUATION:
lctot 2 Irh 5 1-„ P574-3 ''2..,a Li 3 .. a
Subdivision/Lot#: RESIDENTIAL f ( COMMERCIAL ❑
APPLICANT: Phone: / / , �/ /
1-6 1/2-
1�%l+' !/ltf ry+ �` Gdt/t3c l . O) ))6 —15/ 7
Address(Street,City,State,Zip): J /
Email Address:
=3) r, Bide/thy),34 nd, 5Y 11.4 /1r/Vfb'Yo )44.`1 7) 01r/4rs O (6(5.44tet//7 .CC"1
PROPERLY OWNER: Phone:
IC61) ik// 066)3g1 Y0-??"
Address(Street,City, State,Zip): Email Address:
1 1176 Ha_pp 14//Ep JLA,4ccpl t ,t g0.2-11
CONTACT PENON• i Phone•
Ark& lz viso i c3GC)) 334-- 15/7
Address(Street,,p City,State,Zip): 7 Email lAddress::
333 E. RI cijht'c RJ 51 Q i /"n wi kM ?3.1 ? C�i^c7C 1,3' ' T' X.Cat, m, L6,-""7
CONTRACTOR:* Phone:
zC Q pltr(et7`f
Address(Street,City,State, ip): Email Address:
Professional License#: Exp.Date:
*All Contractors&subcontractors must have a valid City of 1`655-ticr, I i 3 614 i V i,z 1-
Anacortes business license prior to doing work in the City. Business License#: Exp.Date:
Contact the City's Finance Department at(360)299-1968. 6'0 2.2 3d C2 3 l 9//JO/2. /
Is this work,associated with another project? Yes ❑ No;4 If yes,specify:
PROPOSED WORK: (ncf-A/I 50 i.3//6 c lee f' • wi, •r ltsatr,o.
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: Aar(' i , R.t/5/c.8 Owner 0 Agent Nl (specify): FO51 t/nafi'r2y_
Signature: r '' i
Date: 1�7)0/2-0-s2.0