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City of Anacortes <br />904 6th Street <br />P.O.Box 547 <br />Anacortes, WA 98221-0547 <br />(360) 293-1901 <br />Invoice/Permit #: BLD-2005-0791 <br />Applied date: 10/13/2005 <br />Issue date: 12/13/2005 <br />Expire date: 12/13/2006 <br />Job Address: 1111 K AVE Permit Type: Single Family Alteration/Repair Permit <br />ANACORTES WA 98221-1949 Project: <br />APN: P58729 <br />Remarks: Alterations and additions. <br />Owner: <br />Address <br />Phone <br />BROWN WILLIAM L <br />PO BOX 744 <br />ANACORTES WA 98221-0744 <br />(206) 235-7029 <br />General Information: <br />Building Valuation <br />Contractor: <br />Address: <br />Phone: <br />License #: <br />Fees: <br />72000 Reinspection Fee <br />Building Permit Fee <br />Plan Review Fee <br />State Building Code Fee Resi <br />Total Calculated: <br />Deposits/Receipts: <br />Total Due: <br />55.00 <br />349.00 <br />226.85 <br />4.50 <br />635.35 <br />580.35 <br />55.00 <br />cl -•i -o m --� cl -tl <br />�v a Z iu T� r tv ►- m <br />Z0 ,r = A} Gam• <br />S'i rr rt ,t CI I ill <br />L4 00 C) <br />.. 1.. 7 1 ;i G <br />4 _ 0 Ca C) <br />NO L <br />e+ m <br />1)4 0 .. (jj H 'S If1 <br />•)4• r: f r 1.. v <br />m* <br />m* <br />?c ¢1 <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WlR!iIN 180 Dk(S, Wj <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCEq. r_'?I <br />HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISi0N2$ <br />OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN ORcNOTa:.:TN <br />GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHEP.8`[ATR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. " ''4-1 <br />f j Y•.J 1 <br />SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY — .z, <br />