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- -- Y <br /> �►-' ` !: City of Anacortes <br /> Invoice/Permit #: BLD-2021-0654 <br /> " 904 6th Street <br /> Applied date: 08/03/2021 <br /> P.O.Box 547 Issue date: 08/03/2021 <br /> mik -f Anacortes, WA 98221-0547 <br /> taer j- Expire date: 01/30/2023 <br /> Air <br /> Job Address: 1216 15TH ST Permit Type: Reroof Single Family Residence <br /> ANACORTES WA 98221-2274 Project: <br /> APN: P55454 <br /> Remarks: REMOVE CURRENT ROOFING AND REPLACE WITH ONE LAYER COMPOSITION ROOFING, 31 SQUARES. <br /> Owner: MCCOY DAVID J Contractor: OWNER <br /> Address: 5411 KINGSWAY Address: <br /> ANACORTES WA 98221-3023 <br /> Phone: Phone: <br /> License #: <br /> General Information: Fees: <br /> Occupancy Group it-1 Building Permit Fee 181 .25 <br /> Building Valuation 10000 State Building Code Fee Resi 6.50 <br /> Total Calculated: 187.75 <br /> Deposits/Receipts: 0.00 <br /> Total Due: 187.75 <br /> The issuance or granting of this permit shall not be construed to be a permit for, or approval of, any violation of this Code or any other ordinance or order of <br /> the City, of any state or federal law, or of any order, proclamation, guidance advice or decision of the Governor of this State. To the extent the issuance or <br /> granting of this permit is interpreted to allow construction activity during any period of time when such construction is prohibited or restricted by any state or <br /> federal law, or order, proclamation, guidance advice or decision of the Governor of this State, this permit shall not authorize such work and shall not be <br /> valid. The building official is authorized to prevent occupancy or use of a structure where in violation of this Code, any other City ordinances of this <br /> jurisdiction or any other ordinance or executive order of the City, or of any state or federal law, or of any order, proclamation, guidance advice or decision of <br /> the Governor. The building official is authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect, <br /> inaccurate or incomplete information, or in violation of any City ordinance, regulation or order, state or federal law, or any order, proclamation, guidance or <br /> decision of the Governor. This permit becomes null and void if work or construction authorized is not commenced within 180 days or if construction work is <br /> suspended or abandoned for a period of 180 days at any time after work is commenced. I have read and examined this application and know the same to <br /> be true and correct. <br /> SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY <br />