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0510304-1 0004 04/13/2005 002 4 <br /> Permit Fees 006384 $61.00 <br /> 'VT Y p City of Anacortes Permit#: BLD-2005-0260 <br /> 904 6th Street Issue date: 04/13/2005 <br /> Anacorx 547 Expire date: 04/13/2006 <br /> ":FOr. rq; Anacortes, WA 98221-0547 <br /> cog... <br /> Job Address: 1217 12TH ST Permit Type: Reroof Single Family Residence <br /> ANACORTES WA 98221-2105 Project: <br /> APN: P55435 <br /> Remarks: Tear off and replace 30 year comp <br /> Owner: BRUCE REED Contractor: SILVER HAMMER ROOFING <br /> Address: 1217 12TH ST Address: 9621 PADILLA HEIGHTS RD <br /> ANACORTES WA 98221-2105 ANACORTES WA 98221-8698 <br /> Phone: (360)293-7860 Phone: <br /> License#: SILVEHR034JI <br /> General Information: Fees: <br /> Building Valuation 5821 Building Permit Fee 56.50 <br /> State Building Code Fee 4.50 <br /> Total Calculated: 61.00 <br /> Deposits/Receipts: 0.00 <br /> .- - _ Total Due: 61.00 <br /> _ <br /> - <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 0 LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. r- <br /> SIGNATU OF OWNER OR AUTHO IZED AGENT ISSUED BY <br />