HomeMy WebLinkAboutPermit File 3412 W2nd Street G7 t, City of Anacortes Invoice/Permit#: BLD-2017-0522
904 6th Street
Applied date: 10102/2017
P.O.Box 547 Issue date: 10/02/2017
' 0; Anacortes, WA 98221-0547
(360)293-1901 Expire date: 03/31/2019
Job Address: 3412 W 2ND ST Permit Type: Mechanical Permit
ANACORTES WA 98221-1246 Project:
APN: P109007
Remarks: Replace gas water heater like for like
Owner: CAROLYN& ROBERT STILWELL Contractor: FAST WATER HEATER COMPANY
Address: 3412 W 2ND ST Address: 1171-5 N CREEK PKWY S
ANACORTES WA 98221-1246 BOTHELL WA 98011-8807
Phone: (858)449-7754 Phone: (425)636-7084
License#: FASTWWH948BC
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
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYpi pF`F
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COM I4TEp.t..;'I
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL POWIttbisit
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OIL 1 TFIt
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHEI@ SIMI Cr
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. s.. --J h.0
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SIGNATURE OF OWNER OR AUTHORIZED AGENT ISS BY 'gin Cr]
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F PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
"` "1-';: PLUMBING & MECHANICAL PERMIT APPLICATION
Mailing Address:P.O. Box 547, Anacortes, WA 98221
`' Office Location: 904 6th Street, Anacortes WA 98821
Phone: (360) 293-1901, Fax: (360)293-1938
PLEASE REFER TO THE PLUMBING&MECHANICAL PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS�� ���t9 Suite�� #):
Parcel(s)#: P1O1 063-
Subdivision/Lot#: �
Residential ► , Commercial ❑
APPLICANT: Phone: Fax:
Address(Street,City,State,Zip): E-Mail Address:
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PROPER O NEE��DD4 Ii ST 1 1 W LL _ 5 6"6 q 51'I Fax:
Address(Stet, Ci State,Zip): E-Mail Address:
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CONTAC PERSON: Phone: Fax:
\ ___Address(Street, City, State,Zip)': E-Mail Address:
CONTRACTOR:* Phone: Fax:
fAST W f\--re Eil A--FE-0. Q-5 1P3 611VA I _____
Address(Street,City, State,Zip): E-Mail Addr s
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*All Contractors& subcontractors must have a valid City of Contractor's License# Exp.Date:
Anacortes business license prior to doing work in the City. rAllil ��s� i t :Contact the City's Finance Department at(360)299-1968. ess License#: Ex .Date:
Is this work, associated with another project? Yes ❑ Noe< If yes, specify:
PROPOSED WORK:
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I declare under penalty of perjury that the information I have provided on this form/application is true,correct,and
complete,and that I am the property owner or duly authorized agent of the property owner to submit a permit
application to the City of Anacortes.
Print Name: y,coilK e Owner ❑ Agent %(specify):
Signature: Date: _ 1 1
O City of Anacortes Permit#: BLD-2004-9622
904 6th Street
Issue date: 05/03/2004
P.O.Box 547 Expire date: 05/03/2005
' Anacortes, WA 98221-0547
,eg ' , (360) 293-1901
Job Address: 3412 W 2ND ST Permit Type: Renew Building Permit
ANACORTES WA 98221 Project:
APN: P109007
Remarks: Renew permit No. COM2001-00101
Owner: TRIPLE T CONSTRUCTION INC Contractor:
Address: 3412 W 2ND ST Address:
ANACORTES WA 98221
Phone: (360)293-2105 Phone:
License#:
General Information: Fees:
Renew Building Permit Fee 200,00
Total Calculated: 200.00
Deposits/Receipts: 0.00
Total Due: 200.00
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.
2/1)7Vi .
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED D BBY�r j_k�U
0429404-1 0004 10/20/2004 002 4
Permit Fees 005656 $55.00
G� 0 .., City of Anacortes Permit#: BLD-2004-0113
904 6th Street Issue date: 10/20/2004
., r�.�,. : nacorx 547
_ Expire date: 10/20/2005
fib' Anacortes, WA 98221-0547
k/ (360) 293-1901
Job Address: 3412 W 2ND ST Permit Type: Reinspection Permit
ANACORTES WA 98221 Project:
APN: P109007
Remarks: Reinspect final inspection twice.
Owner: TRIPLE T CONSTRUCTION INC Contractor:
Address: 3412 W 2ND ST Address:
ANACORTES WA 98221
Phone: (360)293-2105 Phone:
License#:
General Information: Fees:
#OF HOURS 1 Reinspection Fee 55.00
Total Calculated: 55.00
Deposits/Receipts: 0.00
Total Due: 55.00
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.
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SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
✓SS,- JOB 5ROA1IA2R\ 'SGo tt aV�SPt.CZICSVI�
�, "�4. TITLE 3412 - We )I
I J��.-'\ \ CITY OF ANACORTES
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.0ZT Y Off, City of Anacortes Permit#: BLD-2003-8740
904 6th Street Issue date: 06/12/2003
P.O.Box 547
> TO;. Anacortes, WA 98221-0547 Expire date: 06/11/2004
e91 i (360) 293-1901
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Job Address: 3412 W 2ND ST
ANACORTES WA 98221
APN: P109007
Permit Type: Mechanical Permit
Project:
Remarks; Install additional gas fireplace.
Applicant: TRIPLET CONSTRUCTION INC Owner: TRIPLET CONSTRUCTION INC
Address: 3501 OAKES AVE Address: 3501 OAKES AVE
ANACORTES, WA 98221 ANACORTES WA 98221
Phone: Phone:
Contractor:
Addressr:
Phone:
License#:
General Information: Fees:
#of Gas Fireplace 1 Mechanical Permit Fees 34.15
Total Calculated: 34.15
Deposits/Receipts: 0.00
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T Zt Total Due:
0-, 'F - * �' �' 34.15
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THIS APPLICATION IS RECEIVED BY THE BUILDING OFFICIAL UNDER THE PROVISIONS OF THE UNIFORM BUILDING CODE, AND SHALL
EXPIRE BY LIMITATION AND BECOME NULL AND VOID IF PERMIT IS NOT OBTAINED WITHIN 180 DAYS OF THIS APPLICATION. BY AFFIXING
MY SIGNATURE I HEREBY CERTIFY THAT I AM THE LEGAL OWNER OF THE PROPERTY FOR WHICH THIS APPLICATION IS ISSUED OR AN l
AUTHORIZED AGENT OF THE OWNER.ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT, INCLUDING CALLS FOR INSPECTIONS. /�
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Applicant Signature Issued by
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-G1` Y Off. City of Anacortes Permit#: BLD-2003-8411
904 6th Street Issue date: 01/15/2003
,.,•"��. P.O.Box 547
t,� -�� 10<: Expire date: 01/15/2004
Anacortes, WA 98221-0547
�" w'1. (360) 293-1901
Job Address: 3412 W 2ND ST
ANACORTES WA 98221
APN: P109007
Permit Type: Reinspection Permit
Project:
Remarks: Inspection was not ready after thrid visit.
Applicant: TRIPLET CONSTRUCTION INC Owner: TRIPLET CONSTRUCTION INC
Address: 3501 OAKES AVE Address: 3501 OAKES AVE
ANACORTES,WA 98221 ANACORTES WA 98221
Phone: Phone:
Contractor:
Addressr:
Phone:
License#:
General Information: Fees:
#OF HOURS 1 Reinspection Fee 30.00
Total Calculated: 30.00
Deposits/Receipts: 0.00
Total Due: 30.00
THIS APPLICATION IS RECEIVED BY THE BUILDING OFFICIAL UNDER THE PROVISIONS OF THE UNIFORM BUILDING CODE,AND SHALL EXPIRE
BY LIMITATION AND BECOME NULL AND VOID IF PERMIT IS NOT OBTAINED WITHIN 180 DAYS OF THIS APPLICATION. BY AFFIXING MY
SIGNATURE I HEREBY CERTIFY THAT I AM THE LEGAL OWNER OF THE PROPERTY FOR WHICH THIS APPLICATION IS ISSUED OR AN
AUTHORIZED AGENT OF THE OWNER. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT,INCLUDING CALLS FOR INSPECTIONS.
Applicant Signature Issued by
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