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MECHANICAL PERMIT <br /> CITY OF ANACORTES <br /> P.O. BOX 547 PERMIT NO.: MEC2001-00074 <br /> ANACORTES,WA 98221 APPLIED: 10/15/01 <br /> (360)293-1901 ISSUED: 10/15/01 <br /> EXPIRES: 10/15/02 <br /> SITE ADDRESS: 1104 19TH STREET <br /> ASSESSOR'S PARCEL NO.: 1104 <br /> TYPE OF WORK: ? <br /> TYPE OF USE: RES <br /> PROJECT DESCRIPTION: Install gas free standing stove and piping. <br /> OWNER CONTRACTOR <br /> LEM ELWAY <br /> 110419TH STREET <br /> ANACORTES,WA 98221 <br /> Primary Phone: Primary Phone: <br /> Phone 1: 293-0520 Phone 1: <br /> License#: <br /> Equipment Fees <br /> Equipment Type Quantity Type By Date Receipt Amount <br /> Fireplace 1 PRMT MRD 10/15/01 0107133 $38.90 <br /> Gas Outlets 1 <br /> Total: $38.90 <br /> NOTES: <br /> I hereby acknowledge that I have read this permit and state that the above information is correct, and agree to comply <br /> with all ordinances and state and federal laws regulating activities covered by this permit. <br /> Issued By: Applicant or Owner's Signature <br /> 24 Hour f"uSN UlPHL Etch* ` 1 pections <br /> 7i <br /> CONDITIONS OF APPROVAL: Ei;A t;E DLpy;,Tr;EH <br /> kc2CHIECT;b3-iiliECii33 C Oct "_'t <br /> CASHES li4,i LOO p:a H:Jct -5 2uEi <br /> 11E@ PaiilT FE .. ,'9 <br /> TOIL .kE <br /> RECEDED FROM: <br /> LEN Eta <br /> SHELR4 re,>a <br /> TOTAL TENDERED $L6. c, <br /> 6hhiiCiE 'WE 3._U <br />