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0504604-1 0005 02/15/2005 002 4 <br /> Permit Fees 006168 $9,035..35 <br /> •' 41:C Y per. City of Anacortes Permit#: BLD-2004-0214 <br /> 904 6th Street Issue date: 02/15/2005 <br /> P.O.Box 547 <br /> Expire date: 02M5/2006 <br /> Y rb '03; Anacortes, WA 98221-0547 <br /> A. <br /> `' `` (360) 293-1901 <br /> • <br /> Job Address: 1909 27TH PL Permit Type: Single Family Residence Permit <br /> ANACORTES WA 98221 Project: <br /> APN: <br /> Remarks: Construct new single family residence per approved plans as noted <br /> Owner: R& M LLP Contractor: H R CHRISTENSON CONSTR LLC <br /> Address: 4620 HICKORY DR Address: 4620 HICKORY DR <br /> ANACORTES WA 98221 ANACORTES WA 98221 <br /> Phone: (360) 661-3594 Phone: (360)661-3594 <br /> License#: HRCHRCL990BE <br /> General Information: Fees: <br /> Lot Area 9941 Plan Review Deposit 100.00 <br /> 1st Floor Square Footage 2768 Building Permit Fee 858.00 <br /> Lot Coverage 34.6 Plan Review Fee 457.70 <br /> Garage Square Footage 676 Mechanical Permit Fees 121.90 <br /> #of Stories 1 Plumbing Permit Fee 132.00 <br /> Building Height 18 State Building Code Fee 4.50 <br /> Building Valuation 269528 Sewer Inspection Fee 50.00 ; <br /> # Forced Air Furnace<=1,000 1 Storm Drain GFC-Residential 1,126.00 <br /> #of Backflow Devices 1 Sewer GFC-Residential 4,682.00 <br /> #of Bathtubs 2 Park Impact Fee 615.00 <br /> #of Clothes Dryers 1 Traffic Impact Fee 900.00 <br /> #of Clothes Washers 1 Total Calculated: 9,047.10 <br /> #of Dishwashers 1 Deposits/Receipts: 100.00 <br /> #of Gas Fireplace 1 <br /> #of Gas Piping 4 Total Due: 8,947.10 <br /> #of Gas Water Heaters 1 <br /> #of Hose Bibbs 3 <br /> #of Kitchen Sinks 1 <br /> #of Lavatories 4 <br /> #of Other Mechanical Units 1 , <br /> #of Showers 1 I <br /> #of Ventilation Fans 5 <br /> #of Water Closets 2 <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 OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. , <br /> SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY <br />