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Cityof Anacortes <br /> Permit#: ROW-2013-0036 <br /> � 904 6th Street <br /> t Issue date: <br /> " P.O.Box 547 <br /> 'OP"'' 01 Anacortes, WA 98221-0547 Expire date: 04/01/2014 <br /> Job Address: 2306 12TH ST Permit Type: Right of Way Permit <br /> ANACORTES WA 98221-2014 Project: <br /> APN: P56372 <br /> Remarks: Repair sewer line from alley to residence <br /> Owner: KELLER MICHAEL C Contractor: THE PLUMBING GUYS INC. <br /> Address: 2306 12TH ST Address: <br /> ANACORTES WA 98221-2014 <br /> Phone: Phone: (360)293-1878 <br /> License#: <br /> General Information: Fees: <br /> Cable N Inside Traveled Way 50.00 <br /> Inside Traveled Way Y Sewer Reinspection Fee 25.00 <br /> Outside Traveled Way N Total Calculated: 75.00 <br /> Culvert N Deposits/Receipts: 0.00 <br /> Natural Gas N <br /> Power N Total Due: 75.00 <br /> Telephone N <br /> Sewer N <br /> Water N <br /> Storm N <br /> Street Cut N <br /> Sewer Reinspection Y <br /> 'T1 i—y <br /> S) <br /> !G•d <br /> CD G4 <br /> CD G4 <br /> CP, CD <br /> �ti C 1 <br /> --i .Y.1 <br /> ig;t h+ <br /> CA N.) <br /> THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IE, Fa: <br /> CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. '-P :".4 <br /> HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL ci <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 OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> de,W10p \ir -k-t/ir\-e r_51-1-6L.Ck <br /> SIGNATURE OF OWNER OR A THORIZED AGENT ISSUED BY • <br />