HomeMy WebLinkAboutBLD-2010-0301 - SIDE SEWER REPAIR OR REPLACEMENT City of Anacortes Permit#: BLD-2010-0301
904 6th Street Issue date: 0 7121/2 0 1 0
P.O.Box 547
140 Anacortes, WA 98221-0547 Expire date: 01/17/2012
(360) 293-1901
Job Address: 1014 4TH ST Permit Type: Commercial Repair/Alter Permit
ANACORTES WA 98221-1511 Project:
APN: P55045
Remarks: Public Restroom Sanitary Sewer GFC
Owner: MARK EDSON Contractor:
Address: 13142 PERSONS RD Address:
BOW WA98232-7222
Phone: (360) 707-5584 Phone:
License#:
General Information: Fees:
Sewer GFC-Commercial 5,392.00
Total Calculated: 5,392.00
Deposits/Receipts: 0.00
Total Due: 5,392.00
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL
PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR
NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER
STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY