HomeMy WebLinkAboutPermit File BLD-2021-0105 1110 24th Street Y C, -'`-_ Cityof Anacortes Invoice/Permit #: BL®-2021-0105
904 6th Street
. AppVIed date: 02/02/2021
P.O.Box 547
Issue date: 02/02/2021
r 'fir Anacortes, WA 98221-0547
�$ � Y � Ey plre date: 08/01/2022
(360) 293-1901
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Job Address: 1110 24TH ST Permit Type: Plumbing Permit
ANACORTES WA 98221 Project:
APN:
Remarks: REPLACE ELECTRIC WATER HEATER FOR THE SAME.
Owner: C/O WESTWOOD MGT ANACORTES MANOR Contractor: CPI PLUMBING & HEATING
Address: PO BOX 9 Address: 1900 RAILROAD AVE
REDMOND WA 98073-0009 MOUNT VERNON WA 98273-4957
Phone: (360) 466-8078 Phone: (360) 428-5636
License #:
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 an. elarr fined this application and know the same to
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSU
Vt Y 0 PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
�
i 4 PLUMBING & MECHANICAL PERMIT APPLICATION
1 7,�. ►w Mailing Address: P.O. Box 547, Anacortes, WA 98221
1iCaP
't c:oil- Office Location: 904 6`h Street, Anacortes WA 98821
Phone: (360) 293-1901
PLEASE REFER TO THE PLUMBING&MECHANICAL PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS(Street,Suite#): ARCEL(S)#: PROJECT VALUATION:
Subdivision/Lot#: RESIDENTIAL 12t COMMERCIAL
1PPLICANT: Phone:
COVAY1hkr'Ci \N2-CM (0o -' �5 - n
A ress( et,City,St p): Email Address:
PROPERTY OWNER: hone:
NCNOrz c\-es Mc' no( Pic oc;c t1U) -30,\-3Gs-1
dress(Street,City St e,Zip): Email Address:
+ } ]/' lf'(`sONPA C %Q.1 3 3tr (A rn c, r t1(.0)-( 1-o C.0 al
CgNT,kCT PERS : Phone:
Addresk(Street,City, tate,Zip): Email Address:
CONTRACTOR:* ' Phone:
Yr (�S NQpv,C -
Address(Street,City,State,Zip): Email Address:
*All Contractors& subcontractors must have a valid City of Professional License#: Exp.Date:
Anacortes business license prior to doing work in the City. Business License#: Exp Date:
Contact the City's Finance Department at(360)299-1968. l' k yi m 11
Is this work,associated with another project? Yes D No 0 If yes,specify:
PROPOSED WORK:1 ow \ �,c- vi2..„ \ujor\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 t i ,of Anacortes. e'r
Print Nam ' -J�_, C Owner ❑ enttk(specify):
Signat Date: 7/G J G I
MECHANICAL:
Equipment Type: Appliance/Equipment Information(new and relocated): Total#:
Furnace: Gas#: Elec#: Other#: Location(s):
Wall Heater: Gas#: Elec#: Other:#: Location(s):
Gas Water Heater: #: Location(s):
Heat Pump: Elec#: Other#: Location(s):
Air Conditioner/Handler: Elec#: Other:#: Location(s):
Radiant/Hydronic Heating: Gas#: Elec#: Other:#: Location(s):
Exhaust Fans: Bath#: Laundry#: Kitchen#: Other#:
Range Hood: #: Type 1 or 2(Circle which one) Location(s):
Fireplace: Gas#: Elec#: Other:#: Location(s):
Clothes Dryer&Duct: Gas#: Elec#: Other: #: Location(s):
Stove/Range/Oven: Gas#: Elec#: Other:#: Location(s):
Refrigeration Unit: Elec#: Other:#: Location(s):
Gas Piping/Outlet(s): #: Location(s):
Boiler: Gas#: Elec#: BTUs: Location(s):
Other #: Location(s):
:;"OTAL MECHANICAL OUTLETS:
PLUMBING FIXTURES:
Fixture Type(new and relocated): Total#: Fixture Type(new and relocated): Total#:
Water Closet(Toilet): Refrigerator water supply(for water/ice dispenser):
Kitchen Sink: Pressure Reduction Valve/Pressure Regulator:
Utility Sink: Water Service Line:
Tub: Water Piping:
Hand Sink: Clothes Washer:
Shower: Electric Water Heater: Tank-less? Yes 0 No"9
Dishwasher: Backflow Prevention Device:
Urinal: Hose Bib:
Floor Drain/Floor Sink: Drinking Fountain:
Hydronic Heat in: Floor 0 Wall ❑ Grease Interceptor:
Other: Other:
TOTAL PLUMBING FIXTURES: