HomeMy WebLinkAboutPermit File BLD-2020-0613 2320 26th Street (4)COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
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k7 svy l ailing Address: P.O. Box 547, Anacortes, WA 98221
cf JOffice Location: 904 0 Street, Anacortes WA 98821
Php e: (360) 934 01
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PLEASE)WPXXT50 THE PLUMBING & MECHANICAL E T HECKL ST FOR SUBMITT��A� L REQ UIRE 1�IENTS
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PROJECT ADDRESS (Street, Suite #):
PARCEL(S) #:
PROJEC7C VAI,UATI®T\\1:
2320 26th Street
Subdivision/Lot #:
R ES11D]ENUAL 21 COMMERCIAL ❑
APPLICANT:
Phone:
Susan Miller
951-237-1562
Address (Street, City, State, Zip):
Email Address:
2320 261h St, Anacortes, WA 98221
susanmiller_99@yahoo.com
PROPICIk 7I Y OWNER:
Phone:
Susan Miller
951-237-1562
Address (Street, City, State, Zip):
Email Address:
2320 26th St, Anacortes, WA 98221
susanmiller_99@yahoo.com
CONTACT PERSON:
Phone:
Susan Miller
951-237-1562
Address (Street, City, State, Zip):
Email Address:
2320 26th St, Anacorles, WA 98221
susanmiller_99@yahoo.com
CONTRACTOR:*
Phone:
Address (Street, City, State, Zip):
Email Address:
Professional License #:
Exp. Date:
*All Contractors & subcontractors must have a valid City of
Anacortes business license prior to doing work in the City.
Business License #:
Exp. Date:
Contact the City's Finance Department at (360) 2994968.
Is this work, associated with another project? Yes ❑
No ❑ If yes, specify:
PROPOSED WORICO Replace existing tub/shower with walk -In shower
1
Remove two sinks and relocate and replace with
one.
Relocate toilet
Remove single window and replace with two
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: Susan Miller
Owner 21 Agen ❑ (specify):
Signature: , A '6% , ��
Date: 0 G Z " �10
Equipment Type*
MECHANICAL. At
Appliance/Equipment Information (new and relocated):
Total #:
Furnace:
Gas #:
Elec #: Other #:
Location(s):
Wall Heater:
Gas #:
Elec #: Other: #:
Location(s).
Gas Water Heater:
#:
Location(s):
Heat Pump:
Elec #:
Other #: Location(s):
Air Conditioner /Handler:
Elec #:
Other: #: Location(s):
Radiant /Hydronic Heating:
Gas #:
Elec #: Other: #:
Location(s):
Exhaust Fans:
Bath #:
Laundry #: Kitchen #:
Other #:
Range Hood:
#:
Type 1 or 2 (Circle which one)
Location(s):
Fireplace:
Gas #:
Elec #: Other: #:
Location(s):
Clothes Dryer & Duct:
Gas #:
Elec #: Other: #:
Location(s):
Stove/Range/Oven:
Gas #:
Elec #: Other: #:
Location(s):
Refrigeration Unit:
Elec #:
Other: #: Location(s):
Gas Piping/ Outlet(s):
#:
Location(s):
Boiler:
Gas #:
Elec #: BTUs:
Location(s):
Other:
#:
Location(s):
L
Fixture Type (new and
TOTAL MECHANICAL OUTLETS:
PLUMBING FIXTURES.
relocated): Total #: Fixture Type (new and relocated):
Total #:
Water Closet (Toilet):
1
Refrigerator water supply (for
water/ice dispenser):
Kitchen Sink:
Pressure Reduction Valve/Pressure Regulator:
Utility Sink:
Water Service Line:
Tub:
Water Piping:
Hand Sink:
1
Clothes Washer:
Shower:
1
Electric Water Heater: Tank -less?
Yes ❑ No ❑
Dishwasher:
Backflow Prevention Device:
Urinal:
Hose Bib:
Floor Drain / Floor Sink:
1
Drinking Fountain:
Hydronic Heat in: Floor ❑ Wall
❑
Grease Interceptor:
Other:
Other:
TOTAL PLUMBING FIXTURES:
4
4X6 HF #2 or better
Minimum Header size
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CITY OF ANACORTES
PLANNING AND BUILDING DEPT:
APPROVED PLANS
REVIEWED FOR CODE COMPLIANCE
P RMIT#: BLD-2020-0613
A DRESS: 2320 26 h St
A PROVED BY:
SUBJEC TO FIELD INSPECTION. APPROVEDPLyfS SHALL NOT
BE ALTERED WITHOUT AUTHORIZA ON.