HomeMy WebLinkAboutBLD-2010-0049 - PLUMBING AND ELECTRIC WATER 1004004-1 0006 02109/2010 002 4
Permit Fee: 008050 $50.00
City of Anacortes Permit#: BLD-2010-0049
904 6th Street issue date:
P.O.Box 547 Expire date: 02/09/2011
Anacortes, WA 98221-0547
Job Address: 1103 6TH ST Permit Type: Sewer Repair Permit
ANACORTES WA 98221-1719 Project:
APN: P55308
Remarks: Repair Sewer Line
Owner: SAN JUAN MOTEL Contractor: THE DRAIN DOCTOR
Address: 1103 6TH ST Address: 14062 HILLWOOD DR
ANACORTES WA 98221-1719 BOW WA 98232-7227
Phone: (360)293-5105 Phone: 757-3017/70&-cJ(n 7
License#: DRAIND'055DH
General Information: Fees:
Sewer Inspection Fee 1 Sewer Inspection Fee 50.00
Total Calculated: 50.00
Deposits/Receipts: 0.00
Total Due: 60.00
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 ISS ED BY
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