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City of Anacortes Invoice/Permit#: BLD-2019-0438 <br /> 904 6th Street <br /> Applied date: 07/11/2019 <br /> `,4010611 P.O.Box 547 <br /> Issue date: 07/25/2019 <br /> 0' Anacortes, WA 98221-0547 <br /> (360) 293-1901 Expire date: 01/06/2021 <br /> Job Address: 1815 10TH ST Permit Type: Mechanical Permit <br /> ANACORTES WA 98221-1417 Project: <br /> APN: P56059 <br /> Remarks: Replace Gas boiler with like <br /> Owner: ERIC &AMANDA BALTAZAR Contractor: FOSS HEATING AND COOLING <br /> Address: PO BOX 922 Address: 333 E BLACKBURN RD <br /> ANACORTES WA 98221-0922 MOUNT VERNON WA 98273-9006 <br /> Phone: (360) 293-5364 Phone: (360) 336-1517 <br /> License#: FOSSHCI983QA <br /> General Information: Fees: <br /> #of Boilers> 100,000 BTU 1 Mechanical Permit Fees 50.65 <br /> Total Calculated: 50.65 <br /> Deposits/Receipts: 50.65 <br /> Total Due: 0.00 <br /> THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF <br /> CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I <br /> HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS <br /> OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE <br /> GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY <br />