HomeMy WebLinkAboutBLD-1988-6515 - RESIDENTIAL REMODEL SV � .
1 4� it
CITY OF ANACORTES
BLDG. ❑ PL4MBING EI MECHANICAL ❑
Telephone 293-1901 _
Anecortes.WA Date c. C) '::. 19
PERMISSIOuy' IS HEREBY GRANTED TO:
OWNER 1(/l �Li T�
STREET
ADDRESS
Location where work is to be done
CONTRACTOR [I�
TO ERECT ❑ INSTALL ❑ OR REPAIR
IN THE FOLLOWINGMANN@R: L; Jtt. r7 AW,4/z,z... erc
ta ,j7�1 "[ r� c ftPs� d
PERMIT EXPIRES ONE YEAR FROM DATE ISSUED
PLANS FOR CONSTRUCTION WERE NOT ❑ SUBMITTED
WERE W,
WORK TO BE DONE BY OWNER,. CONTRACTOR ❑
RECEIPT OF FEES IS ACKNOWLEDGED AS FOLLOWS:
APPMQ3tIMATE VALUE
TYPE OF WORK PERMIT FEES
State Building Code Surcharge
State Energy Study Surcharge
Building 4"4;7 OG.
Plumbing and W.S.
Mechanical
Plan Check Fee a
i
j
TOTALO
LE Ard r 4 D€SCRIPTION - f`� 2 416 ce 5A A �S 0`%e>
& ,
ITY INSPECTOR j