HomeMy WebLinkAboutPLM-1999-0020 - PLUMBING AND ELECTRIC WATER PLUMBING PERMIT
CITY OF ANACORTES PERMIT NO.: PLM1999-00020
P.O. BOX 547 ANACORTES, WA 98221 APPLIED: 99-11-09
(360)293-1901 ISSUED:
EXPIRES: 00-11-09
SITE ADDRESS: 1104 4TH
ASSESSOR'S PARCEL NO.: 3772-065-019-0002
TYPE OF WORK: New
TYPE OF USE: Residential
PROJECT DESCRIPTION: Add bathroom to existin home.
OWNER CONTRACTOR
GREGG JENSEN
1104 4TH STREET
ANACORTES,WA 98221
Primary Phone: Primary Phone:
Phone 1: Phone 1:
License#:
Plumbing Fixtures Fees
Fixture Type Quantity Type By Date Receipt Amount
Bath Tubs 1 PRMT MRD 99-11-09 $41.00
Water Closets (Toilets) 1 PRMT MRD 99-11-09 $7.00
Lavatories 1 Total: $48.00
NOTES:
I hereby acknowledge that I have read this permit and state that the above information is correct, and agree to comply
with all ordinances and state and federal laws regulating activities covered by this permit.
Ake
Issued by AppliCant or n s Signature
CONDITIONS OF APPROVAL :
1)
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