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Cityof Anacortes <br /> invoice/Permit#: BLD-2016-1329 <br /> 904 6th Street <br /> Applied date: 06/13/2016 <br /> P.O.Box 547 <br /> C Anacortes, WA 98221-0547 Issue date: <br /> ';. (360) 293-1901 Expire date: 12/10/2017 <br /> `•< ,bra <br /> Job Address: 3802 LEEWARD LN Permit Type: Single Family Residence Permit <br /> ANACORTES WA 982.21 Project: <br /> APN: <br /> Remarks: sfr <br /> Owner: KEN ELLIS Contractor: STRANDBERG CONSTRUCTION <br /> Address: 4933 HEATHER DR Address: PO BOX 319 <br /> ANACORTES WA 98221-3001 ANACORTES WA 98221-0319 <br /> Phone: (360)293-9298 Phone: (360)293-7431 <br /> License#: STRANCIO2OCC <br /> General Information: Fees: <br /> Plan Review Deposit 200.00 <br /> State Building Code Fee 4.50 <br /> Sewer Inspection Fee 50.00 <br /> Storm Drain GFC-Residential 1,408.06 <br /> Sewer GFC-Residential 8,987.40 <br /> Park Impact Fee 615.00 <br /> Traffic Impact Fee 900.00 <br /> Total Calculated: 12,164.96 <br /> Deposits/Receipts: 0.00 <br /> Total Due: 12,164.96 <br /> r; I ni .a ,`, r� <br /> m C1 v o, <br /> r LA ,titi NI -4 <br /> .., ry ti 0 <br /> • r, .-+- 1-- i if <br /> CY .-- 0••. 0) f) <br /> "=1 i•-•• :I -ice <br /> c) r. •• •o 2 0 ,-•, <br /> .. t,;, P1 114 <br /> ' '' <br /> H n . <br /> 11 C+} <br /> THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAMSS= <br /> CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMM€AIDE©:• -: <br /> HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVIWN5: <br /> OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR iciT., I�♦;. <br /> GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER1. TAT5:OR4 <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. "•.. s'•.41: <br /> u.. <br /> t' ':: <br /> 0 0 tt+ CA I•-.. <br /> ci L) 11 Tf <br /> = <br /> SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY - ~• ` <br />