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City of Anacortes Permit#: BLD-2013-0353 <br /> 904 6th Street Issue date: 08/22/2013 <br /> P.O.Box 547 <br /> Expire date: 02/18/2015 <br /> G Anacortes, WA 98221-0547 <br /> � (360) 293-1901 <br /> 0014, .: <br /> Job Address: 1216 12TH ST Permit Type: Mechanical Permit <br /> ANACORTES WA 98221-2106 Project: <br /> APN: P55426 <br /> Remarks: Replace furnace. <br /> Owner: PRIMOZICH MARK W Contractor: BARRON HEATING&A C <br /> Address: PO BOX 1981 Address: 5100 PACIFIC HWY <br /> ANACORTES WA 98221-6981 FERNDALE WA 98248-8927 <br /> Phone: Phone: (800)328-7774 <br /> License#: <br /> General Information: Fees: <br /> #FORCED AIR FURNACE> 1,000 0 Mechanical Permit Fees 43.05 <br /> # Forced Air Furnace<=1,000 1 Total Calculated: 43.05 <br /> #of Gas Piping 1 <br /> Deposits/Receipts: 0.00 <br /> Total Due: 43.05 <br /> C,4 <br /> 44, <br /> r-•1- 0 <br /> sts <br /> i7} <br /> Ifs <br /> Cs <br /> cCO 0 <br /> e_' <br /> OD <br /> ha <br /> r•., <br /> THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OIbIF <br /> CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED`.~I H <br /> HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALP <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OII <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGU N ONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 47 <br /> IC <br /> IGNATURE 0 NER OR THORIZED AGENT ISSUED B <br />