HomeMy WebLinkAboutPermit File BLD-2022-0456 401 4th Street �'� G► City of Anacortes
Invoice/Permit#: BLD-2022-0456
904 6th Street
Applied date: 06/09/2022
P.O.Box 547
Issue date: 06/09/2022
Anacortes, WA 98221-0547 Expire date: 12/06/2023
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(360) 293-1901
Job Address: 401 4TH ST Permit Type: Mechanical Permit
ANACORTES WA 98221-1609 Project:
APN: P56766
Remarks: Replace furnace with same.
Owner: JAMES CRONE Contractor: FOSS HEATING AND COOLING
Address: 401 4TH ST Address: 333 E BLACKBURN RD
ANACORTES WA 98221-1609 MOUNT VERNON WA 98273-9006
Phone: (360)299-4515 Phone: (360)336-1517
License#:
General Information: Fees:
# Forced Air Furnace<=100k 1 Mechanical Permit Fees 38.30
Total Calculated: 38.30
Deposits/Receipts: 0.00
Total Due: 38.30
The issuance or granting of this permit shall not be construed to be a permit for,or approval of, any violation of this Code or any other ordinance or order of
the City, of any state or federal law, or of any order, proclamation, guidance advice or decision of the Governor of this State.To the extent the issuance or
granting of this permit is interpreted to allow construction activity during any period of time when such construction is prohibited or restricted by any state or
federal law, or order, proclamation, guidance advice or decision of the Governor of this State, this permit shall not authorize such work and shall not be
valid. The building official is authorized to prevent occupancy or use of a structure where in violation of this Code, any other City ordinances of this
jurisdiction or any other ordinance or executive order of the City, or of any state or federal law, or of any order, proclamation,guidance advice or decision of
the Governor. The building official is authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect,
inaccurate or incomplete information, or in violation of any City ordinance, regulation or order, state or federal law, or any order, proclamation, guidance or
decision of the Governor.This permit becomes null and void if work or construction authorized is not commenced within 180 days or if construction work is
suspended or abandoned for a period of 180 days at any time after work is commenced. I have read and examined this application and know the same to
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
� r PLANNING,COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address: P.O. Box 547,Anacortes, WA 98221
' Office Location: 904 61h Street,Anacortes WA 98821
`�, Phone: (360) 293-1901
PLU BING & MECHANICAL PERMIT APPLICATION
Please corr plete all applicable information and submit to buildingpermitceDcitvofanacortes.2rg
PROPERTY INFORMATION
PROJECT ADDRESS ASSESSORS PARCEL NUMBER
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PROJECT VALUATION
'1� 3`�� , 08 []]"RESIDENTIAL ❑COMMERCIAL
PROPER OWNER OWNER PHONE
OWNER ADDRESS OWNER EMAIL ^� J
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APPLICI kNT.1NFORMATION
PROPERTY OWNER CONTRACTOR OTHER:
NAME PHONE
ADDRESS EMAIL
CONTR CTOR INFORMATION
NAME PHONE
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CONTRACTOR'S BUSINESS LICENSES* STATE LICENSE# EXPIRATION
*All Conti actors & Subcontractors must have a valid FO-S.5/-/cf 7 3 c',l I1" // a 2—
City of An 7cortes business license prior to doing work UBI LICENSE# EXPIRATION
in the City C6,) ul
ADDRESS(STREET,CITY,STATE,ZIP) EMAIL / r
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PROJECT INFORMATION
DESCRIPTION OF PROPOSED WORK:
IS THIS WC IRK ASSOCIATED WITH ANOTHER PROJECT? YESNO
If YES,provide the permit/application number.
Plumbing/ry echanical Permit Application
Updated De ember 2021 Page 1 of 3
MECHANICAL
APPLIANCE/EQUIPMENT INFORMATION(NEW AND RELOCATED)
EQ IPMENT TYPE Indicate the number of fixtures for each equipment type TOTAL
CAS ELECTRIC OTHER-Please specify COMMENT
Furnace
Wall Heater
Water Heater
Heat Pump
Air Conditioner/Handler
Radiant Hydronic Heating
E haust Fans
Range Hood
Fireplace
Cloth as Dryer&Duct
Stove/Range/Oven
Reh igeration Unit
GasPiping/Outlet(s)
Boiler BTUs:
Other
TOTAL MECHANICAL OUTLETS
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 Dra in/Floor Sink Drinking Fountain
Hydronic Heat in:[]Floor ❑Wail Grease Interceptor
Other-p ease specify:
TOTAL PLUMBING;FIXTURES
Plumbing/Me hanical Permit Application
Updated Dec mber 2021 Page 2 of 3