HomeMy WebLinkAboutPermit File 3917 O Avenue Y CO
- :; City of Anacortes Permit#: BLD-2013-0392
904 6th Street Issue date: 09/17/2013
P.O.Box 547 Expire date: 09/12/2014
COI Anacortes, WA 98221-0547
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(360) 293-1901
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Job Address: 3917 0 AVE Permit Type: Demolition Permit
ANACORTES WA 98221-3928 Project:
APN: P58772
Remarks: Remove underground heating
Owner: RICHARDS DON W Contractor: ULTRA TANK SERVICES
Address: 3917 0 AVE Address: PO BOX 30096
ANACORTES WA 98221-3928 BELLINGHAM WA 98228-2096
Phone: Phone: (360)815-5361
License#: ultratso33ck
General Information: Fees:
Total Calculated:
Adjustments:
Deposits/Receipts:
Total Due:
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL
PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR
NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER
STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
MkestrlaAR AfOLP
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUE BY
09-16-13; 12:05 ;From: ultra tank services Inc. To: 13602931938 ; 3603982311 # 2/ 3
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"';` ' ' t :;= CITY OF ANACORTES
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''�'i'" :h. ., DEMOLITION PERMIT APPLICATION
Site A.ddxess; $ 7 / 7 0 54-
Assessors Account No.: Date: 1G l
Lot(s):,. Block: ,Addition:
Owners Nam Gyl Y,LC-lat;4 Contracto Name:g C
Address: 1 (7 () 5+ Address: ''O :QX * r.14XiErIM 01
State: Zi State: , II)fl Zip: 9SSacag0
Phone: 6((,�Op� Contractors License:/U.:7734475 033G k
Phone:
Have Utilities Been Disconnected? Description of proposed demolition.
Water Dept.: Ye No le•Wl4J1.1rr.- (.)dt.UC ✓2i,,✓,) Lee.--- -k'10
Electric: Ye, o ( 4c,��
Cable: Ye o ) t L
Gas: Ye Ho Will Materia's be disposed?
BARRICADES TO BE PROVIDED FOR PU C PROTECTION, AREA MUST BE
ROPED OFF!
applicant's or Agent's Signature
ASBESPPSING
Breathing asbestos is hazardous to your health, Before starting a renovation or dernolitiorx project,
survey for friable asbestos materials. Notify Northwest Air Pollution Authority prior to asbestos
removal or containment 1600 S. 2"`{ Street,Mt.Vernon,WA.98273 (360) 428-1617.
Fire Department Approval: Date: _
Police Dept.Approval: Date:
Public Works Department Approval: Date:
Museum: Date:
Comments:
09-16-13; 12: 05 ; From: ultra tank services inc. To: 13602931938 ; 3603982311 # 3/ 3
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09-16-13; 12:05 ;From: ultra tank services inc, To: 13602931938 ; 3603982311 # 1/ 3
ULTRA TANK SERVICES, INC.
PO Box 30096
Bellingham, WA 98228-2096
Telephone: 360-398-0134 E-Mail: ultratank2012@gmail.com
FAX
TO: Anacortes Planning Department DATE: 9/16/2013
FAX: 360-661-7838 FROM: Ultra Tank Services, Inc.
PHONE: 360-293-1938 PAGES: 3 including cover
SUBJECT: Demolition Permit Application— 3917 0 Street, Anacortes
Hello,
I have attached the permit application with the site map. We would appreciate it if we could
schedule an inspection for tomorrow instead of Wednesday.
Thanks,
Leo A. Day
Leo Day, President
C/O Ultra Tank Services
P.O, Box 30096
Bellingham, WA 98228
MECHANICAL PERMIT
CITY OF ANACORTES PERMIT NO. : MEC97-0116
P.O. BOX 547 APPLIED: 10/20/97
ANACORTES, WA 98221 ISSUED: 10/20/97
(206) 293-1901 EXPIRES: 10/20/98
SITE ADDRESS: 3917 0 AVE
ASSESSOR'S PARCEL NO. : 3917
PROJECT DESCRIPTION: Gas fireplace adn piping
— OWNER r CONTRACTOR
DON RICHARDS HANDY'S HEATING
3917 0 AVENUE 1575 MEMORIAL HWY
ANACORTES WA 98221 MT VERNON WA 98273
293-6957 428-0969
HANDYH1088JW
TYPE OF WORK. . . :NEW BOILERS/COMPRESSORS- DOMES. INCIN • 0
TYPE OF USE •RES 0-3 HP • 0 COMML. INCIN • 0
3-15 HP • 0 RELOC/REPAIR. . . : 0
FUEL TYPES 15-30 HP • 0 CLOTHES DRYERS. : 0
: /GAS/ / / : 30-50 HP • 0 GAS WTR HEATERS: 0
FURN < 100K BTU: 0 50+ HP • 0 STOVE, APPLI. . . : 0
FURN >=100K BTU: 0 AIR HANDLING UNITS-- FIRE LOG/LITE. . : 1
FURN - FLOOR. . . : 0 <= 10000 cfm. : 0 WOODSTOVES • 0
UNIT HEATERS. . . : 0 > 10000 cfm. : 0 OTHER UNITS • 0
VENT FANS • 0 EVAP COOLERS. . . : 0 GAS OUTLETS • 1
VENT SYSTEMS. . . : 0 HOODS • 0
VENT W/O APPLI. : 0
— FEES — NOTES
Code Amount---- By- Date---- Receipt
PRMT $ 37. 00 MD 10/20/97 7607
TOTAL $ 37. 00
I hereby acknowledge that I have read this permit and state that the above information is correct, and agree to comply with all
ordinances and laws regulating activities covered by this permit.
Issued by Applicant or Owner' s Signature
24 Hour Notice Required For All Inspections
mecprmt, Rev: 06/11/92
C 0
CITY OF ANACORTES
BLDG. Ig PLUMBING ❑ MECHANICAL ❑
PERMIT $1
ANACORTES, WASH. DATE — I 191_
PERMISSION IS HEREBY ?,RANTED 10:
` OWNER
STREET r� 1
ADDRESS : "11 rJ —
LOCATION WHERE WORK IS TO BE DONE
CONTRACTOR 4i1-11
TOERECT ❑ INSTAL OR REPAIR
IN THE FOLLOWING MANNER: 4.,i n ` -'[n.1.J,f
PERMIT EXPIRES ONE YEAR FROM DATE ISSUED
PLANS FOR CONSTRUCTION WERE NOT SUBMITTED
WERE ❑
WORK TO BE DONE BY OWNER ❑ CONTRACTOR
RECEIPT OF FEES IS ACKNOWLEDGED AS FOLLOWS:
f TYPE ' XIMATE APPRO VALUE PERMIT FEES
OF WORK
ISSUING I .ry
BUILDING f 9 c f�« /F r{e
GAS PIPING
It PLUM3ING AND W.S.
SEWER CONNECTION INSP.
MECHANICAL
PLAN CHECK FEE
MISC.
TOTAL '775 Qt : f? a. )
LE L DESFg TIO S f
Dh
ITY INSPECTOR
ADDRESS ,3/7 0
LEGAL DESCRIPTION
ASSESSORS ACCOUNT NO. . <j'( 3 —OoZ ._(D>C)25
PERMIT NO. DATE DESCRIPTION DATE FINALED
05623 9 -9-7—Cott -ctAi-er F�n..Q_ dacc-'c-lc
3(---i a 2Q-‘ -\ Po-r
37L-/ a
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