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G� 0 :,, City of Anacortes Permit#: BLD-2006-0770 <br /> 904 6th Street Issue date: 11/07/2006 <br /> "t^11004lri;"' P.O.Box 547 <br /> Expire date: 11/07/2007 <br /> ' tfj; Anacortes, WA 98221-0547 ti <br /> �Cr. (360) 293-1901 <br /> Job Address: 1305 11TH ST Permit Type: Mechanical Permit <br /> ANACORTES WA 98221-1936 Project: <br /> APN: P55584 <br /> Remarks: Relocate natural gas line in existing residence <br /> Owner: MIKE KINSLOW Contractor: <br /> Address: PO BOX 1817 Address: <br /> ANACORTES WA 98221-6817 <br /> Phone: (360)588-0289 Phone: <br /> License#: <br /> General Information: Fees: <br /> #of Gas Piping 4 Mechanical Permit Fees 28.25 <br /> Total Calculated: 28.25 <br /> Deposits/Receipts: 0.00 <br /> Total Due: 28.25 <br /> 'i <br /> c3 <br /> r <br /> yi -1 <br /> THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR I '=' t <br /> CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br /> HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALLA ih <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR P.,NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PR VISIONS OF ANY OTHER µ <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> OC • _ <br /> SIGNA RE OF OWNER AUTHORIZED AGENT IS ED BY <br />