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0914004-1 00O3 05/20/2009 002 4 <br /> VCY O-_ CityofAnacortes Permit Fear 008343 $43.05 <br /> Permit#: BLD-2009-0165 <br /> 904 6th Street Issue date: 05/20/2009 <br /> "" Anacorx 547 Expire date: 11/16/2010 <br /> �' CO . Anacortes, WA 98221-0547 <br /> mew (360) 293-1901 <br /> Job Address: 1502 10TH ST Permit Type: Mechanical Permit <br /> ANACORTES WA 98221-1926 Project: <br /> APN: P55843 <br /> Remarks: Install gas furnace and gas piping. <br /> Owner: ROBERT CLAUS( Contractor: <br /> Address: 3284 BIZ POINT RD Address: <br /> ANACORTES WA 98221-8541 <br /> Phone: (360)293-6426 Phone: <br /> License#: <br /> General Information: Fees: <br /> # Forced Air Furnace <=1,000 1 Mechanical Permit Fees 43.05 <br /> #of Gas Piping 1 <br /> Total Calculated: 43.05 <br /> Deposits/Receipts: 0.00 <br /> Total Due: 43.05 <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 <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE e CAL LA�W-REEG/ULATIINNNGG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION <br /> ,er4dts-v., <br /> rili <br /> SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED B ��v <br />