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Y. C# City of Anacortes Invoice/Permit#: BLD-2019-0251 <br /> 904 6th Street <br /> Applied date: 04/25/2019 <br /> "' +' P.O.Box 547 <br /> Issue date: 04/25/2019 <br /> Anacortes, WA 98221-0547 <br /> , 1'" <br /> (360) 293-1901 Expire date: 10/21/2020 <br /> Job Address: 2102 27TH PL Permit Type: Plumbing Permit <br /> ANACORTES WA 98221-3873 Project: <br /> APN: P58656 <br /> Remarks: Install 1/2 horsepower pump in infiltration trench and run tightline down to the City storm system as an overflow. <br /> Owner: WELLIVER TODD J Contractor: OWNER <br /> Address: PO BOX 931 Address: <br /> ANACORTES WA 98221-0931 <br /> Phone: Phone: <br /> License#: <br /> General Information: Fees: <br /> #of Backflow Devices 1 Plumbing Permit Fee 49.00 <br /> #of Side Sewer 1 Total Calculated: 49.00 <br /> #of Sewer Ejector Pump 1 <br /> Deposits/Receipts: 0.00 <br /> Total Due: 49.00 <br /> n m — c 7.1 <br /> MI f r•-j •.L, <br /> '7 - I 4, 1-- <br /> Uti r• r:, o. f n N- <br /> .. r-n <br /> I.—• I 1 lip <br /> ,', rt •y:, ,�, <br /> Q.. r_, = r m C. a <br /> C. r,_y r CO <br /> CI. rn r— <br /> F-a. y7 !y <br /> r <br /> THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DANS,4C* <br /> CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCE'?, ;=a <br /> HEREBY CERT y THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVIS DN <br /> OF LAWS D ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR—NOT,r_THt <br /> GRANTIN OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE'C <br /> LOCAL LA REG TING CONST T 0 THE PERFORMANCE OF CONSTRUCTION. ----- - <br /> -r+ I <br /> • <br /> SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUE <br />