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PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address: P.O. Box 547, Anacortes, WA 98221
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Office Location: 904 9r Street, Anacortes WA 98821
Phone: 293-1901
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(360)
MECHANICAL
Equipment Type:
Furnace:
Wall Heater:
Appliance/Equipment Information (new and relocated):
Gas #: Elec #: J— BTU: Other #:
Gas #: Elec #: 3 Other: #: Location(s): ,
Total #:
Gas Water
#:
Location(s):
Heat Pump:
Elec #: Other #: Capacity:
Air Conditioning:
Elec #:
Other #: Capacity:
Radiant /Hydronic
Gas #:
Elec #: Other: #: Location(s):
Exhaust Fans:
Bath #: a Laundry #: ` Other:
Range Hood:
#: I
Location(s): I-�" Q
Fireplace:
Gas #:
Elec #: Other: #: Location(s):
Clothes Dryer & Duct:
Gas #:
Elec #: Other: #: Location(s):
Stove/Range/Oven:
Gas #:
Elec #: Other: #: Location(s):
Gas Piping/ Outlet(s):
#:
Location(s):
Boiler
Gas #:
Elec #: B_ TUs: Location(s):
Other:
#: Location(s):
PLUMBING
Fixture Type (new and
relocated):
Water Closet (Toilet):
TOTAL MECHANICAL OUTLETS:
Total #: Fixture Type (new and relocated):
Refrigerator water supply (for water/ice
Total #:
'
Kitchen Sink:
Pressure Reduction Valve/Pressure Regulator:
Utility Sink:
Water Service Line:
Tub:
j
Water Piping:
Hand Sink:
?j
Clothes Washer:
Shower:
Z
Electric Water Heater: Tank -less? Yes ❑
Dishwasher:
Backflow Prevention Assembly:
Hose Bib:
Other:
TOTAL PLUMBING FIXTURES
1-2
Res. Building Permit Application Submittal Checklist
Updated April 20, 2021
Page 10 of 19