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O . City of Anacortes Permit#: BLD-2013-0367 <br /> 904 6th Street <br /> � Issue date: 08129/2013 <br /> ` 11 iw+' P.O.Box 547 Expire date: 02/25/2015 <br /> >'! 1 Anacortes, WA 98221-0547 <br /> °:,. ,.a <br /> :_ (360) 293-1901 <br /> Job Address: 1903 12TH ST Permit Type: Single Family Alteration/Repair Permit <br /> ANACORTES WA 98221-2003 Project: <br /> APN: P57127 <br /> Remarks: Addition to residence, bedroom, bath and deck. <br /> Owner: STEVE TIEFISHER Contractor: <br /> Address: 1903 12TH ST Address: <br /> ANACORTES WA 98221-2003 <br /> Phone: (360)666-2079 Phone: <br /> License#: <br /> General Information: Fees: <br /> Building Valuation 20000 Building Permit Fee 321.25 <br /> #of Showers 1 Plan Review Fee 208.81 <br /> #of Lavatories 1 State Building Code Fee 4.50 <br /> #of Water Closets 1 Plumbing Permit Fee 41.00 <br /> Total Calculated: 575.56 <br /> Deposits/Receipts: 0.00 <br /> Total Due: 575.56 <br /> 71. <br /> rt. rJ <br /> ..,. <br /> iz, r.ti <br /> Sri ci <br /> ID iJ <br /> v1 r• <br /> ch. [;-i <br /> -, ..o <br /> ,•4 <br /> -_J r••� <br /> THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR W <br /> CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br /> HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL o <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 />