HomeMy WebLinkAboutPermit File 4110 R Avenue MECHANICAL PERMIT
CITY OF ANACORTES
P.O. BOX 547 PERMIT NO.: MEC1999-00068
ANACORTES,WA 98221 APPLIED: 99-09-02
(360)293-1901 ISSUED: 99-09-02
EXPIRES: 00-09-02
SITE ADDRESS: 4110 R AVENUE
ASSESSOR'S PARCEL NO.: P57985
TYPE OF WORK: NEW
TYPE OF USE: RES
PROJECT DESCRIPTION: Gas Fireplace and Piping.
OWNER CONTRACTOR
LORENZO WIESE-HANSEN
4110 RAVENUE
ANACORTES,WA 98221
Primary Phone: Primary Phone:
Phone 1: 293-2040 Phone 1:
License#:
Equipment Fees
Equipment Type Quantity Type By Date Receipt Amount
Fireplace 1 PRMT MRD 99-09-02 10569 $38.90
Gas Outlets 1
Total: $38.90
NOTES:
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 state and federal laws regulating activities covered by this permit.
Issued By: Applicant or Owner's Signature
24 Hour Notice Required For All Inspections
CONDITIONS OF APPROVAL:
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PERMIT RECORD INSPECTION RECORD
PERMIT #° TYPE DESCRIPTION DATE REMARKS
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