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" CITY OF ANACORTES <br /> BLDG. 0 PLUMBING ❑ MECHANICALK <br /> PERMIT Nil 6 .93 <br /> Telephone 293-1901 <br /> Anta rtes,WA Date 2 / Ser/ 19 ' <br /> PERMISSION IS HEREBY GRANTED TO: <br /> OWNER +.�/i/h .�Lt uJ)'///4 <br /> STREET <br /> ADDRESS /ZD / 7"� 7l <br /> Location where work is to pa done <br /> CONTRACTOR !af7 5 /" iiJ -v &c;/+ Gs it • <br /> TO ERECT ❑ INSTALL Lai OR REPAIR ❑IN THE FOLLOWINGMAf1NER: � /tjrd 0 j w1�/� A �6.' ' <br /> F/ 6e ?/ R Ys1 J <br /> PERMIT EXPIRES ONE YEAR FROM DATE ISSUED <br /> PLANS FOR CONSTRUCTION WERE NOT ❑WERE SUBMITTED <br /> ❑ <br /> WORK TO BE DONE BY OWNER ❑ CONTRACTOR 0 <br /> RECEIPT OF FEES IS ACKNOWLEDGED AS'FOLLOWS: <br /> TYPE APPNga MiE VALUE PERMIT FEES <br /> OF WORK <br /> State Building Code Surcharge <br /> State Energy Study Surcharge <br /> Building <br /> Plumbing and W.S. <br /> Mechanical ®5 <br /> Plan Check Fee <br /> TOTAL ,7I r <br /> LEGAL DESCRIPTION <br />