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City of Anacortes Invoice/Permit#: BLD-2015-0618 <br /> . 904 6th Street <br /> Applied date: 11/18/2016 <br /> 'iwiiiimemoir P.O.Box 547 Issue date: 11/18/2015 <br /> 'C ! Anacortes, WA 98221-0547 <br /> Wt (360)293-1901 Expire date: 11/12I2016 <br /> Job Address: 1019 12TH ST Permit Type: Demolition Permit <br /> ANACORTES WA98221-2101 Project: <br /> APN: P55112 <br /> Remarks: Decomission removal of(1) 550 Gallon underground heating tank. <br /> Owner: LIGHTHOUSE BAPTIST CHURCH ANAN Contractor: ULTRA TANK SERVICES <br /> Address: 1019 12TH ST Address: PO BOX 30096 <br /> ANACORTES WA 98221-2101 BELLINGHAM WA 98228-2096 <br /> Phone: Phone: (360) 815-5361 <br /> License#: ultratso33ck <br /> General Information: Fees: <br /> • Total Calculated: <br /> Adjustments: <br /> Deposits/Receipts: <br /> Total Due: <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 PROVISIONS <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 STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> U (iV\GL-12 !'1)I1: 69��C—P <br /> SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY <br />