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City of Anacortes <br />Invoice/Permit #: BLD-2021-0518 <br />904 6th Street <br />Applied date: 06/24/2021 <br />P.O.Box 547 <br />Issue date: 09/15/2021 <br />_� t►� : Anacortes, WA 98221-0547 <br />Expire date: 03/14/2023 <br />(360) 293-1901 <br />Job Address: 2105 12TH ST <br />Permit Type: Single Family Interior Only Alteration Permit <br />ANACORTES WA98221-2007 <br />Project: <br />APN: P31862 <br />Remarks: RE -INSTALLING FLUTILES AND BRICK CHIMNEY STACK FROM SHOULDERS OF CHIMNEY TO CODE HEIGHT. <br />Owner: JACKIE LAW <br />Contractor: ON TIME MASONRYAND RESTORATION LLC <br />Address: 2105 12TH ST <br />Address: 1916 E VIEWMONT DR <br />ANACORTES WA 98221-2007 <br />MOUNT VERNON WA 98273-2663 <br />Phone: (520) 349-4770 <br />Phone: (425) 583-4526 <br />License #: <br />General Information: <br />Fees: <br />Building Valuation 3500 <br />Building Permit Fee 97.25 <br />Plan Review Fee 63.21 <br />State Building Code Fee Resi 6.50 <br />Total Calculated: 166.96 <br />Deposits/Receipts: 0.00 <br />Total Due: 166.96 <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 and examined this application and know the same to <br />be true and correct. <br />SIGNATURE OF OWNER OR AUTHORIZED AGENT <br />ISSUED BY <br />