HomeMy WebLinkAboutPermit File 3807 S Avenue MECHANICAL PERMIT
CITY OF ANACORTES PERMIT NO.: MEC2002-00003
P.O. BOX 547
ANACORTES,WA 98221 APPLIED: 1/16/02
(360)293-1901 ISSUED: 1/16/02
EXPIRES: 1/16/03
SITE ADDRESS: 3807 S AVENUE
ASSESSOR'S PARCEL NO.: 350230-0-152-0007
TYPE OF WORK:
TYPE OF USE: RES
PROJECT DESCRIPTION: Install new furnace.
OWNER CONTRACTOR
IVAN SURYAN LARSON HEATING & MECHANICAL
3807 S AVENUE 486 W HENNI
ANACORTES,WA 98221 OAK HARBOR,WA 98277
Primary Phone: Primary Phone:
Phone 1: Phone 1: 360.675.0538
License#: LIC LARSOHM074KJ
Equipment Fees
Equipment Type Quantity Type By Date Receipt Amount
Furnace< 100k btu 1 PRMT MRD 1/16/02 $38.30
Total: $38.30
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.
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Issued By: Applicant r Owner's Signature
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CITY OF ANACORTES
BUILDING DEPARTMENT
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CERTIFICATE OF OCCUPANCY
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THIS IS TO CERTIFY that the (description of building i'
or structure): .'.n,_�s, �1 !:'4,.;n,a_, :�',�.. .,
t eh- PP- ,•A_A 4;..
Owner: ' -f2:--t Ls`/‘o'._ \'' , ....'t-;S,.'Y , n,
_ rj (1
Street and No • -
-L'
Contractor:`• _t: Fire Zone• -"
Building Permit No • 2r f'r
4-2I_t
Occ. Group: .1' --7 Use Zone:
has been inspected and occupancy is hereby li
authorized:
..� 19 u
Building Inspector
-tin- OF AnCt RIES'
BUILDING DEPARTMENT
CERTIFICATE OF OCCUPANCY
833
THIS IS TO CERTIFY that the (description of building
or structure): ,e014•41- k ra....Aratt
Owner: LAreisra,
Street and No 8'07 S CLAM
Contractor:0>PS 4147-Fire Zone• 3
Building Permit No.:..51/11)
Occ.Group: (g 3 Use Zone: R
has been inspected and occupancy is hereby
authorized:
—42-1 19 B1
Budging Inspector
- FOR INSPECTIONS CALL: CITY OF ANACORTES PERMIT 9650
293-1901 BUILDING PERMIT
24 Hrs. Notice Requested Site Address '•8°7 S AVtttlU*t
NAME(OR NAME OF BUSINESS) PLUMBING
Ivan Sur yan
MAILING ADDRESS No. TYPE OF FIXTURE OR ITEM FEE
3807 S Avenue
CITY TELEPHONE NUMBER Water Closet $
Anacortes , WA 98221 2,9 7,-11, 7 Bathtub
NAME Lavatory
i
Shower
ADDRESS Kitchen Sink
Dishwasher
CITY TELEPHONE NUMBER Laundry Tray
Clothes Washer
NAME Water Heater
Commercial Heating Urinal
rs
i
ADDRESS Drinking Fountain
329 E . Blackburn Floor Sink or Drain
CITY TELEPHONE NUMBER Slop Sink
p Mt. Vernon, WA 98273 428-5838 Water Piping
v STATE LICENSE NUMBER CITY LICENSE NUMBER
[YResidential ❑ Non-Residential PERMIT $
❑ New ❑Add ❑Alter ❑ Repair TOTAL FEE $
❑Building 0 Plumbing ❑'=Mechanical MECHANICAL
❑ Sign 0 Demolition 0 Other Q GAS ❑ OIL ❑ ELECT. 0 OTHER
Legal Description of Property or Tax Account Number No. TYPE OF EQUIPMENT FEE
Lot Block of .
Air Cond. Unit $
Refrigeration Unit— HP
Boiler— HP
1 Forced Air System— BTU/KW 9 . "-+
Describe Work Floor Furnace
Gas piping and furnace Wall Heater
Unit Heater
Clothes Dryer
Occupancy Use Ventilation Fan
QKSingle Family Residence ❑ Multi-Family Residence Range Hood
❑Office 0 Retail 0 Storage 0 Church Air Handling Unit— CFM
❑ Restaurant 0 Other Pre-manufactured Stove or Fireplace
NOTICE 1 Gas Piping_
This permit is issued by the Building Official and,under the provisions
of the Uniform Building Code,shall expire by limitation and become null
and void if the building or work authorized by such permit is not com- PERMIT $ 1 r' '"'
menced within 180 days from the date of permit issuance,or if the building TOTAL FEE $ I '.t`
or work authorized by such permit is suspended or abandoned at any lime
after the work is commenced for a period of 180 days. TOTAL FEES VALUATION FEE
By affixing my signature, I hereby certify that I am the owner of the
. property for which this permit is issued or am an authorized represen- Planding Check $ U it r
tative of the owner.
Plumbing
All provisions of laws and/Ordinances governing this type of work will Mechanical 7 'J
be complied with whether spernfied herein or not,including routine calls
for inspections. / Sign
Demolition
r{1,, Energy Surcharge
1 s4n re a Owner or Authorized -
(Date) State Surcharge
i Other
Street Setback Side Yard Rear Yard Setback TOTAL $ •' 'Y'-`
Use Zone Occupancy Group Type of Com. Conditions:
r
Lot Area Wain Site Dwelling Units
❑Yes ❑No
Pitt Sprinkler,Required Na of Stories Bedrooms Occupant Used
❑yes ❑No
Size of Bldg. Plans Checked By:
WHEN SIGNED AND DATED BELOW,IRIS IS YOUR PERMIT
Pkeoriisu a hereby given to do the above described wort,according to the eonditioa
haven and warding to the approved plans and epecifiettions pertaining therto,subject to
®pram with the ordinances of the CITY OF ANACORTES.
Permit Issued By, , i i ' . ,9 -•-r f , ( f
Building Official (Date)
Edwin Frank
PERMIT ' ' 9650
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LEGAL DESCRIPTION
ASSESSORS ACCOUNT NO. .35o ' - 3cc - i5 -ono-)
PERMIT NO. DATE DESCRIPTION DATE FINALED
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