HomeMy WebLinkAboutPermit File BLD-2022-0376 4210 Osprey Lane (2) } Xl r PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
o Mailing Address: P.D. Box 547, Anacortes, WA 98221
Office Location: 904 6th Street, Anacortes WA 98821
-1co `�� Phone: (360) 293-1901
PLUMBING & MECHANICAL PERMIT APPLICATION
Please complete all applicable information and submit to buildinepermit@cityofanacortes.org
PROPERTY INFORMATION
PROJECT ADDRESS ASSESSORS PARCEL NUMBER
4210 Osprey Ln. Anacortes P125346
PROJECT VALUATION
13,351.61 ❑X RESIDENTIAL COMMERCIAL
PROPERTY OWNER OWNER PHONE
Dick Tolman 775-831-4144
OWNER ADDRESS OWNER EMAIL
4210 Osprey Ln. Anacortes, WA tolman29@yahoo.com
APPLICANT INFORMATION
PROPERTY OWNER OX CONTRACTOR OTHER: Y_._...
NAME PHONE
Arlington Electric, Inc. 360-403-0515
ADDRESS EMAIL
13310 240th St NE Arlington, WA 98223 arlingtonelectric@msn.com
CONTRACTOR INFORMATION
NAME PHONE
Arlington Electric, Inc. 360-403-0515
CONTRACTOR'S BUSINESS LICENSES* STATE LICENSE# EXPIRATION
*All Contractors & Subcontractors must have a valid ARLINE1822BJ 01/11/24
City of Anacortes business license prior to doing work UBI LICENSE# EXPIRATION
in the City. 601-759-192 5/31/22
ADDRESS(STREET,CITY,STATE,ZIP) EMAIL
13310 240th St NE Arlington, WA 98223 arlingtonelectric@msn.com
PROJECT INFORMATION
DESCRIPTION OF PROPOSED WORK:
Install generator and transfer switch and connect to existing gas line.
IS THIS WORK ASSOCIATED WITH ANOTHER PROJECT? YES X NO
If YES,provide the permit/application number.
Plumbing/Mechanical Permit Application
Updated December 2021 Page 1 of 3
MECHANICAL
APPLIANCE/EQUIPMENT INFORMATION (NEW AND RELOCATED)
EQUIPMENTTYPE Indicate the number of fixtures for each equipment type TOTAL
GAS ELECTRIC OTHER-Please specify COMMENT
Furnace
Wall Heater
Water Heater
Heat Pump
Air Conditioner/Handler
Radiant/Hydronic Heating
Exhaust Fans
Range Hood
Fireplace
Clothes Dryer&Duct
Stove/Range/Oven
Refrigeration Unit
Gas Piping/Outlets)
Boiler BTUs:
Other - —� Generator
TOTAL �
TOTAL MECHANICAL OUTLETS 2
PLUMBING FIXTURES
FIXTURE TYPE (NEW AND RELOCATED) TOTAL FIXTURE TYPE(NEW AND RELOCATED) TOTAL
Toilets Refrigerator water supply
Kitchen Sink Pressure Reduction Valve/Regulator
Utility Sink Water Service Line
Tub Water Piping
Hand Sink Washing Machine
Shower Electric Water Heater:Tank-less? Yes❑ No❑
Dishwasher Backflow Prevention Device
Urinal Hose Bib
Floor Drain/Floor Sink Drinking Fountain
Hydronic Heat in:❑Floor ❑Wall Grease Interceptor
Other-please specify:
TOTAL PLUMBING FIXTURES
Plumbing/Mechanical Permit Application
Updated December 2021 Page 2 of 3