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;G1 — 0 : City of Anacortes Permit#: BLD-2011-0011 <br /> 904 6th Street Issue date: 01/18/2011 <br /> P.O.Box 547 <br /> 'Cq' Anacortes, WA 98221-0547 Expire date: 07/16/2012 <br /> `•r`� Iasi r- <br /> (360) 293-1901 <br /> •11 t•' '.O.Ni.'/'I'. <br /> Job Address: 1016 17TH ST Permit Type: Single Family Alteration/Repair Permit <br /> ANACORTES WA 98221-2359 Project: <br /> APN: P55151 <br /> • <br /> Remarks: Bathroom addition to residence. <br /> Owner: PATRICK BURT Contractor: <br /> Address: 1016 17TH ST Address: <br /> ANACORTES WA 98221-2359 <br /> Phone: Phone: <br /> License#: <br /> General Information: Fees: <br /> Building Valuation 10000 Building Permit Fee 146.25 <br /> #of Ventilation Fans 1 Plan Review Fee 52.33 <br /> #of Showers 1 State Building Code Fee 4.50 <br /> #of Lavatories 1 Mechanical Permit Fees 41.40 <br /> #of Gas Water Heaters 1 Plumbing Permit Fee 41.00 <br /> #of Water Closets 1 Total Calculated: 285.48 <br /> Deposits/Receipts: 0.00 <br /> Total Due: 285.48 <br /> r <br /> c:: <br /> (4 <br /> I <br /> is, 01 <br /> 0 G4 <br /> 0 0, <br /> co <br /> r.+t <br /> .kct co <br /> r•. <br /> ro t.S <br /> -n r_i <br /> THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF„• N <br /> CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. kP <br /> HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL 8 <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR F' <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE O/R LOCAL L W REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> • <br /> SIGNATURE OF OWNER 0 AUTHORIZED AGENT ISSUED B <br />