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,�L I <br /> • _ Cityof Anacortes • <br /> Invoice/Permit #: BLD-2021-1041 <br /> 904 6th Street <br /> `s Applied date: 12/30/2021 <br /> f ._ P.4.Box 547 Issue date: 12/30/2021 <br /> Anacortes, WA 98221-0547 <br /> Expire date: 06/28/2023 <br /> t. _ (360) 293-1901 <br /> Job Address: 2517 17TH ST Permit Type: Mechanical Permit <br /> ANACORTES WA 98221-1327 Project: <br /> APN: P57850 <br /> P123579 <br /> Remarks: INSTALL A GAS FIREPLACE INSERT STOVE. owner: 503-201-0717 <br /> Owner: PAMELA G CHRISTENSEN Contractor: BARRON HEATING & A C <br /> Address: 2517 17TH ST Address: 5100 PACIFIC HWY <br /> ANACORTES WA 98221-1327 FERNDALE WA 98248-9080 <br /> Phone: (206) 858-0208 Phone: (360) 676-1131 <br /> License #: <br /> General Information: Fees: <br /> # of Gas Fireplace 1 Mechanical Permit Fees 34.15 <br /> Total Calculated: 34.15 <br /> Deposits/Receipts: 0.00 <br /> Total Due: 34.15 <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 an lned this application and know the same to <br /> be true and correct. <br /> r , <br /> SIGNATURE OF OWNER OR AUTHORIZED AGENT I S S .B•BY' <br />