HomeMy WebLinkAboutPermit File 4909 Portalis Way C'! • City of Anacortes Invoice/Permit#: BLD-2017-0093
i 904 6th Street
` Applied date: 02/22/2017
���r P.O.Box 547
Issue date: 02/22/2017
` 'C Anacortes, WA 98221-0547(360) 293-1901 Expire date: 08/2112018
��Yifr "!T=
Job Address: 4909 PORTALIS WAY Permit Type: Mechanical Permit
ANACORTES WA 98221-4011 Project:
APN: P123905
Remarks: Replace gas water heater with same. Vacuum Relief Valve required on new water heater installations.
Owner: MIKE& BEVERLY CARLSON Contractor: FOSS HEATING AND COOLING
Address: 1500 E COLLEGE WAY Address: 333 E BLACKBURN RD
PMB482
MOUNT VERNON WA 98273 MOUNT VERNON WA 98273-9006
Phone: (425)346-1547 Phone: (360)336-1517
License#: FOSSHCI983QA
General Information: Fees:
#of Gas Water Heaters 1 Mechanical Permit Fees 34.15
Total Calculated: 34.15
Deposits/Receipts: 0.00
Total Due: 34.15
• i : ...� ..•� j
I••-1 i - I +'� ';I
♦ 1 1 � _
75
11
N=
N j
ri-
m , •
4•
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIll 180 DAYS; OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK 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 ►OT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER:STATE OR
LOCAL LAW REGULATING CO TR CTION OR THE PERFORMANCE OF CONSTRUCTION.
a,
SIGNATURE OF 0 I - •r AUTHORIZED Y