HomeMy WebLinkAboutPermit File 3419 W2nd Street Site Address: L 314/ 9 (JJE� /
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City of Anacortes Permit#: BLD-2003-8524
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904 6th Street Issue date: 03/11/2003
.tafilbellyor P.O.Box 547
Expire date: 03/10/2004
/0; Anacortes, WA 98221-0547
(360)293-1901
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Job Address: 3419 W 2ND ST
ANACORTES WA 98221
APN: P58540
Permit Type: Mechanical Permit III
Project:
Remarks: Installing gas piping to connect gas range, hot water heater,gas furnace,dryer and gas insert.
Applicant: MIKE ROHLFING Owner: MIKE ROHLFING
Address: 1106 17TH ST Address: 1106 17TH ST
ANACORTES,WA 98221 ANACORTES WA 98221
Phone: (360)293-8579 Phone: (360)293-8579
Contractor:
Addressr:
Phone:
License#:
General Information: Fees:
#of Clothes Dryers 1 Mechanical Permit Fees 75.00
# Forced Air Furnace<=1,000 1 Total Calculated: 75.00
#of Gas Fireplace 1
Deposits/Receipts: 0.00
#of Gas Piping 1
#of Gas Water Heaters 1 Total Due: 75.00
.
II
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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
AUTHORIZED AGENT OF THE OWNER. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIE HEREIN OR NOT, INCLUDING CALLS FOR INSPECTIONS. -
'Applicant Signature Issued
PAGE 1 OF 1
CITY OF ANACORTES
BLDG. h. PLUMBING . MECHANICAL ❑ .
PERMIT ,}.� .
E:,ANACORTES, WASH. DATE /2 — A0 . i _
E., PERMI,SSIO I HEREBY G NT '*TO:
,(•F`sOWNER, . , .
STflEET "� i q 2 . LI .
l•ADDRESS �.3l
LOCATION WHERE WO K/S TO BE DINE
It
F Ii','CONTRACTOR L..J ` ' ' '
r ''! ' TO ERECT ,®. INSTALL OR OR IEFAIR, ❑
' . - NN ER: tR Cat iA✓tA
$giN:T:E LLOWI . A d' ✓ > , ,, i --1. tar-e_kt 6-1,-4 4nr _
PERMIT EXPIRES ONE YEAR F OM DATE ISSUED
PLANS FOR CONSTRUCTION WERE WEfl NOTE G SUBMITTED
❑
WORK TO BE DONE BY OWNER ❑ CONTRACTOR q
RECEIPT OF FEES IS ACKNOWLEDGED ASFOLLOWS:
APPROXIMATE VALUE
TYPE OF WORK' .PERMIT FEES
� •
: ISSUING - 3 6n
BUILDING . /o, o o/j co . j y'to
GAS PIPING
• PLUMBING AND W.S. _ boo cc. • gun
SEWER"CONNECTION INSP.
MECHANICAL
' PLAN CHECK FEE
MISC.
TOTAL - /O, Lo0. �~_ / 0 1 Db
€- LEGAL DESCRIPTION karl ! ott et' :go #'p
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. 'lSTY INSPECTOR
CITY OF ANACORTES
BLDG. 0 PLUMBING ❑ MECHANICAL j
t'. PERMIT „a? IT
ANACORTES, WASH. DATE f •. -' 19 I-'
PERMISSION IS HEREBY GRANTED TO: r
":;OWNER i'r /tegr1'!.o deretPA
$;CPEET .n ,.,1 C .] r s+ du
f ADDRESS ''
OW
WHERE WORK,IS TO BE DONE
I I��IC'ONTRACTOR �..�" Ai ,e
TO ERECT ❑ INSTALL REPAIR ❑Flip:!
.p!I EI,!N'!,THE FOLLOWING MANNER:
ail ' , Jos
llll,i'i 1 t i
1I i �
. I'Il l PERMIT EXPIRES ONE YEAR FROM DATE ISSUED
l lIILWERE NOTE
ANS FOR CONSTRUCTION SUBMITTED !!
WERE El{1WI!ORK TO BE DONE BY OWNERCONTRACTOR El III
11lIfIE,CEIPT OF FEES IS ACKNOWLEDGED AS FOLLOWS: 1
t1,11q!IIp!' . APPROXIMATE'VALUE 'I
rt:! ',! , TYPE OF WORKPERMIT FEES'1 1
drill
,`!!,i ISSUING .
"'''I 'BUILDING --® '
,, ! GAS PIPING .-®
" , PLUMBING-AND W.S. ---®
2'1I;'! ]SEWER CONNECTION INSP. ---.;
6 a l30
!,1 1 .
jI,, LAN CHECK FEE ---Ell:
,�II'�,'it 1�1ISC. } -.I-®
: i l " TOTAL I E iral 6 I,,+
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LEGAL DESCRIPTION - 7 -B r ��rt i
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1 V) CITY 1 SPECTdOr'