HomeMy WebLinkAboutPermit File BLD-2021-0292 2018 29th Place calf Anacortes
Invoice/Permit Yre 3 D-2021-0292
904 6th Street Applied date: I ./199- /2021
r_K "; P.O.Box 547 issue date: 04/1 9/2021
Anacortes, WA 98221-0547
Expire date: 10/16/2022
(360) 293-1901
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Job Address: 2018 29TH PL Permit Type: Mechanical Permit
ANACORTES WA 98221-3870 Project:
APN: P122599
Remarks: REPLACE GAS WATER HEATER IN THE GARAGE FOR THE SAME.
HOME OWNER: 360-588-4170
Owner: PRATT ROBERT Contractor: CPI PLUMBING & HEATING
Address: 2018 29TH PL Address: 1900 RAILROAD AVE
ANACORTES WA 98221-3870 MOUNT VERNON WA 98273-4957
Phone: Phone: (360) 428-5636
License #:
General Information: Fees:
# of Gas Water Heaters <= 100k 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 e -ruined its application and know the same to
be true and correct. J
•
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUE
(Ai[ PLANNING,COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
i !'� PLUMBING & MECHANICAL PERMIT APPLICATION
k ' /"- Mailing Address:P.O. Box 547,Anacortes, WA 98221
ib Office Location: 904 6rh Street, Anacortes WA 98821
Phone: (360) 293-1901
PLEASE REFER TO THE PLUMBING&MECHANICAL PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS(Street,Suite#): ' RCEL(S #: PROJECT VALUATION:
-10\x 7 0 h M u- \Azz�dG\ L.j o0 . o all _
Subdivision/Lot#: RESIDENTIAL 0 COMMERCIAL 0
APPLICANT: ' Phone:
Ad res (5,treet,CityAate,Zip): mail Address:
IQM \cx\cO .c1 fir'_ (l])t,� rc,RI��N vai ,C 7n
ROPERTY OWNER: Phone:
20 1\- vir\ 9 \\- 3A', \- 5S15-L\\`10
Addje_ss(Street,City,State,Zip): Email Address:
CONT C ERSON: Phone:
Address(Seet,City,State,Zip): Email Address:
CONT CTOR:* Phone:
l Email Address:
Address(Street,City,State,Zip):
Professional License#: Fyn.'Da t.•
*All Contractors&subcontractors must have a valid City of ,`�.rilm� 7 ILc)/rA
Anacortes business license prior to doing work in the City. Business License#: Exp.'Date:
Contact the Ciry's Finance Department at(360)299-1968.
Is this work,associated with another project? Yes 0 No Elk If yes,specify:
PROPOSED WORK: tn
1Ak,( \ • Q_Q, c q\w muNc-
I declare under penalt • perjury that the information I have provided on this form/application is true,correct,and
complete,and that . he property owner or duly authorized agent of the property owner to submit a permit
application to the of Anac•-
Print Name: - 411 - _ A Q...j‘ _ Owner 0 Agent (specify): ,�1
Signature: - _ _Date: - I '7/
Equipment Type: 1 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): C IC Q .
Heat Pump: Elec#: Other#: Loct4n(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):
TOTAL MECHANICAL OUTLETS:
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 0
Dishwasher: Backflow Prevention Device:
Urinal: Hose Bib:
Floor Drain/Floor Sink: Drinking Fountain:
Hydronic Heat in: Floor 0 Wall ❑ Grease Interceptor:
Other: i Other: _
TOTAL PLUMBING FIXTURES: