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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 #: <br />Applied date <br />Issue date <br />Expire date <br />BLD-2018-0399 <br />06/21 /2018 <br />06/21 /2018 <br />12/18/2019 <br />Job Address: 2418 15TH ST Permit Type: Single Family Alteration/Repair Permit <br />ANACORTES WA 98221-2025 Project: <br />APN: P56405 <br />Remarks: Remodel of master bedroom and bathroom in existing house. <br />Owner: ROGER JEWETT Contractor: <br />Address: 3902 ROCK RIDGE PKWY Address: <br />ANACORTES WA98221-4515 <br />Phone: (360) 941-4371 Phone: <br />License #: <br />General Information: Fees: <br />Building Valuation 25000 Building Permit Fee <br />Occupancy Group r-3 Plan Review Fee <br />Construction Type 5-N State Building Code Fee <br /># of Bathtubs 1 Mechanical Permit Fees <br /># of Gas Fireplace 1 Plumbing Permit Fee <br /># of Gas Piping 1 Total Calculated: <br /># of Lavatories 1 Deposits/Receipts: <br /># of Water Closets 1 <br /># of Water Piping 1 Total Due: <br />#_of Gas Outlets 2 <br />391.25 <br />254.31 <br />4.50 <br />38.90 <br />48.00 <br />736.96 <br />0.00 <br />736.96 <br />rl <br />._, j <br />-ra <br />m <br />�-- <br />1 <br />T <br />1; f <br />� <br />— <br />1 <br />�-F-. <br />hj <br />T <br />Iil <br />Rj <br />� <br />P•S <br />ti� <br />IYi <br />1�+. <br />•q <br />CJ <br />'�'1 <br />M- <br />1� <br />..�1. <br />�t <br />f5 <br />,t <br />�t <br />1-' <br />I <br />1 <br />Ui <br />� <br />�t <br />C11 <br />r <br />�- <br />11 <br />� <br />1� <br />1-- <br />1� <br />a <br />n <br />_, <br />r <br />C:a <br />G} <br />I:J <br />u <br />CY <br />.q <br />i_ry <br />�=.1 <br />U'1 <br />� <br />1 <br />�� <br />f'1' <br />•Jj <br />rT1 <br />•• <br />h-� <br />� <br />� <br />1 <br />It' <br />�"� <br />)_� <br />-�- r-- <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAY, OR-i.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 PRE�VISIOi+lS�-= <br />OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, TI={E���� <br />GRANTfNG OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER S�'ATE �R,.�j <br />LOCA i lJI,4W REG4JLATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. /� It, � 1? :o <br />SIGNATURE <br />OR AUTHORIZED AGENT <br />-, 1-� 1 1� <br />�� 1 <br />