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C,. City of Anacortes Invoice/Permit#: BLD-2019-0583 <br /> ' 904 6th Street <br /> `foold P.O.Box 547 Applied date: 09/05/2019 <br /> Issue date: 09/05/2019 <br /> ` ' O: Anacortes, WA 98221-0547 Expire date: 03/03/2021 <br /> -' " Ii II ' '''- (360) 293-1901 <br /> Job Address: 2021 12TH ST Permit Type: Mechanical Permit <br /> ANACORTES WA 98221-2005 Project: <br /> APN: P31864 <br /> Remarks: Install a new gas line and outlet for a gas range. <br /> Owner: DAVID TALON Contractor: CPI PLUMBING& HEATING <br /> Address: 2021 12TH ST Address: 1900 RAILROAD AVE <br /> ANACORTES WA 98221-2005 MOUNT VERNON WA 98273-4957 <br /> Phone: (305) 877-7597 Phone: (360)428-5636 <br /> License#: <br /> General Information: Fees: <br /> #of Gas Piping 2 Mechanical Permit Fees 28.25 <br /> Total Calculated: 28.25 <br /> Deposits/Receipts: 0.00 <br /> Total Due: 28.25 <br /> j' � -na3 � 0 El <br /> i' =t• t:"., f ri I•-+ -.- <br /> ir at r.0 r_:a C4 �. <br /> !y z Co r,J r-r <br /> 1:) i i ,-r• F-4 1 i to <br /> ra .-r ;:e 0 <br /> .. r-.. 2.• i rr ri ia. <br /> tl �!I hi it <br /> 1 4 .: m '-. <br /> rti- <br /> 'F* r ID I:• 'ri <br /> . . -, „ r— <br /> * ,-r =r• n <br /> ,* <br /> THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHINr 180 DAY6, 0R I <br /> CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS.iCOMMENCED,.`' ; <br /> HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT:'ALL Plj /ISIOW,! <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 8TATEF.'33:, <br /> AL W REGULATI G CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. / ` / ;A, <br /> r i 1 <br /> SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY._.- -Jl p-n c n - 4) <br />