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i' ,W CITY OF ANACORTES <br /> BLDG. I ' PLUMBING ❑ MECHANICAL ❑ <br /> PERMIT ' ` 7429 <br /> Telephone 293-1901 _ g <br /> Anacortee,*A Data J s ,fF l9s1 7 <br /> PERMISSION IS HEREBY GRANTED TO: <br /> OWNER I/_4 ., ,ll, yr .- .;Off r <br /> STREET ' /L• <br /> "/1 <br /> ADDRESS !/ 3z r:..J /0 <br /> Location where work is to be done <br /> CONTRACTOR 0p t7.. • <br /> TO ERECT INSTALL ❑ OR REPAIR /❑ <br /> IN THE F014.0WING MANNER: ' "" • d 4 .. <br /> PERMIT EXPIRES ONE YEAR FROM DATE ISSUED <br /> PLANS FOR CONSTRUCTION WERE NOT ❑ SUBMITTED <br /> WERE <br /> WORK TO BE DONE BY OWNER LY CONTRACTOR 0 <br /> RECEIPT OF FEES IS ACKNOWLEDGED AS FOLLOWS: <br /> nit APPROXIMATE VALUE PERMIT FEES <br /> OF WORK <br /> State Building Code Surcharge .L/r <br /> State Energy Study Surcharge <br /> Building f‘492,_ - ?d r� I <br /> Plumbing and W.S. <br /> • <br /> Mechanical <br /> Plan Check Fee <br /> TOTAL 3 2 5 0 <br /> LEGAL DESCRIPTION 4.1 /t /, ; .// /7 - /C., ,Ps/(Z. <br /> f / f <br /> r , •`• CITY INSPECTOR <br />