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0935503-1 0177 12/22/2009 001 9 <br /> Permit Fees 008569 $34.15 <br /> GZT Y Q City of Anacortes Permit#: BLD-2009-0495 <br /> 904 6th Street Issue date: 12/22/2009 <br /> P.O.Box 547 Anacortes, WA 98221-0547 <br /> Expire date: 06/20/2011 <br /> ,yw (360) 293-1901 <br /> Job Address: 1113 17TH ST Permit Type: Mechanical Permit <br /> ANACORTES WA 98221-2356 Project: <br /> APN: P55204 <br /> Remarks: Replace gas water heater <br /> Owner: YVONNE DEBOLT Contractor: COMPLETE PLUMBING REPAIR CO <br /> Address: 1113 17TH ST Address: 1009 20TH ST <br /> ANACORTES WA 98221-2356 ANACORTES WA 98221-2505 <br /> Phone: Phone: (360) 333-3088 <br /> License#: <br /> General Information: Fees: <br /> #of Gas Water Heaters 1 Mechanical Permit Fees 34.15 <br /> Total Calculated: 34.15 <br /> Deposits/Receipts: 0.00 <br /> Total Due: 34 15 <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, RANTING OF A PERM DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> S E OR CA W REGULA CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> 624 <br /> SI AT E OF OWNER OR AUTHORIZED AGENT ISSUED BY <br />