HomeMy WebLinkAboutPermit File 1110 4th Street 'T C3 City of Anacortes Invoice/Permit#: BLD-2017-0017
C3 \' 904 6th Street
Applied date: 01/12/2017
P.O.Box 547 Issue date: 01/12/2017
< '° 0' Anacortes, WA 98221-0547
'CV1 (360) 293-1901 Expire date: 07/11/2018
Job Address: 1110 4TH ST Permit Type: Mechanical Permit
ANACORTES WA 98221-1513 Project:
APN: P55349
Remarks: Replace existing gas floor heater with gas fireplace.
Owner: HAVARD TARA J Contractor: FOSS HEATING AND COOLING
Address: 1110 4TH ST Address: 333 E BLACKBURN RD
ANACORTES WA 98221-1513 MOUNT VERNON WA 98273-9006
Phone: Phone: (360) 336-1517
License#: FOSSHCI983QA
General Information: Fees:
#of Gas Fireplace 1 Mechanical Permit Fees 34.15
Total Calculated: 34.15
Deposits/Receipts: 0.00
Total Due: 34.15
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR.'{F
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK AS COMMENOEb.:::'.1
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PRO' ISiOI,S
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR,NoT,•-;Tm'V
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER--SI'AT11 OR
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
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SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED �% n =
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