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o City of Anacortes Invoice/Permit#: BLD-2018-0323 <br /> 904 6th Street <br /> P.O.Box 547 Applied date: 05/23/2018 <br /> Anacortes, WA 98221-0547 Issue date: 05/23/2018 <br /> (360) 293-1901 Expire date: 11/19/2019 <br /> Job Address: 1705 12TH ST Permit Type: Single Family Alteration/Repair Permit <br /> ANACORTES WA 98221-2114 Project: <br /> APN: P58009 <br /> Remarks: Foundation repair <br /> Owner: SKOMERZAALAN W Contractor: <br /> Address: Address: <br /> Phone: Phone: <br /> License#: <br /> General Information: Fees: <br /> Building Valuation 8500 Building Permit Fee 167.25 <br /> Plan Review Fee 108.71 <br /> State Building Code Fee 4.50 <br /> Total Calculated: 280.46 <br /> Deposits/Receipts: 0.00 <br /> Total Due: 280.46 <br /> CD --1 'L1 CC i- CI -[7 <br /> -n (17,3 <br /> to m - t••: C?1 <br /> • :X, in <br /> r: t CO C <br /> .ter. <br /> x; :•, mn 77. H <br /> K .. i xj <br /> * • r- rf 1 <br /> T. Ir A <br /> r- <br /> THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITAIN 180 D,4 S,- Or <br /> CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WOFt IS COMMENCER; ;L <br /> HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONA <br /> OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN ORINOT,.:SHE <br /> GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHERTATE.'CR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �' CC. r-! <br /> CD <br /> CO C: <br /> SIGNAT E OF OWNER OR AUTHORIZED AGENT ISSU BY;/)-7/ <br /> F F <br /> ro <br />