HomeMy WebLinkAboutBLD-2010-0413 - PLUMBING AND ELECTRIC WATER City ofAnacortes Permit 178e: 007571 $100.00
Permit#: BLD-2010-0413
904 6th Street Issue date: 10/11/2010
P.O.Box 547
[r, . Anacortes, WA 98221-0547 Expire date: 10/11/2011
Job Address: 1020 34TH ST Permit Type: Sewer Repair Permit
ANACORTES WA 98221-4206 Project:
APN:
Remarks: Re-route sewer line to existing residence.
Owner: ROB& KAREN EVANS Contractor:
Address: 1020 34TH ST Address:
ANACORTES WA 98221-4206
Phone: (360) 708-0090 Phone:
License#:
General Information: Fees:
Sewer Inspection Fee 1 Inside Traveled Way 50.00
Sewer Inspection Fee 50.00
Total Calculated: 100.00
Deposits/Receipts: 0.00
UTotal Due: 100.00
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 WS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR
NOT, THE TING OF DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER
';TATE 0 L CA W GU NG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGN F OWNER OR AUTHORIZED AGENT ISSUED BY
1028403-1 0069 10/11/2010 001 9
C4 City of Anacortes Permit Fees 007571 $100.00
Cj :: tY Permit#: BLD-2010-0413
904 6th Street Issue date: 10/11/2010
P.O.Box 547 Expire date: 10/11/2011
07 } Anacortes, WA 98221-0547
Job Address: 1020 34TH ST Permit Type: Sewer Repair Permit
ANACORTES WA 98221-4206 Project:
APN:
Remarks: Re-route sewer line to existing residence.
Owner: ROB&KAREN EVANS Contractor:
Address: 1020 34TH ST Address:
ANACORTES WA 98221-4206
Phone: (360) 708-0090 Phone:
License#:
General Information: Fees:
Sewer Inspection Fee 1 Inside Traveled Way 50.00
Sewer Inspection Fee 50.00
Total Calculated: 100.00
Deposits/Receipts: 0.00
Total Due: 100.00
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 WS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR
NOT, THE TING OF8,1PERIgP DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER
STATE O L CAL GU NG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGN F OWNER OR AUTHORIZED AGENT I UED BY
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