HomeMy WebLinkAboutPermit File 1118 4th Street C3 City of Anacortes Invoice/Permit#: BLD-2016-1689
904 6th Street
Applied date: 12/12/2016
P.O.Box 547 Issue date: 12/13/2016
f.> U = Anacortes, WA 98221-0547(360)293-1901 Expire date: 06/11/2018
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Job Address: 1118 4TH ST Permit Type: Mechanical Permit
ANACORTES WA 98221-1513 Project:
APN: P55348
Remarks: Replaceing exsiting nat.gas furnus forced air system with same.
Owner: PETERSEN RUSSELL W Contractor: FOSS HEATING AND COOLING
Address: 1118 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:
# Forced Air Furnace<=1,000 1 Mechanical Permit Fees 38.30
Total Calculated: 38.30
Deposits/Receipts: 0.00
Total Due: 38.30
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIE1I 180 DA S;'/C}R 'IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK It COMMFNPKt: �_J
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PFFO}"�S40N0
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR 1 T,rTHE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHEi:=01 0
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. r_r, .ry
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SIGNATURE 0 R OR AUTHORIZED AGENT ISSUED BY
'"- U'`< City of Anacortes Invoice/Permit#: BLD-2016-1485
. 904 6th Street
Applied date: 08/12/2016
''U I' _ P.O.Box 547
Issue date: 08112l2016
,', -G� ' Anacortes, WA 98221-0547
Expire date: 02/08/2018
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Job Address: 1118 4TH ST Permit Type: Single Family Alteration/Repair Permit
ANACORTES WA 98221-1513 Project:
APN: P55348 •
Remarks: Class B reroof includes sheeting, 11 sq.
Owner: PETERSEN RUSSELL W Contractor:
Address: 1118 4TH ST Address:
ANACORTES WA 98221-1513
Phone: Phone:
License#:
General Information: Fees:
Building Valuation 4200 Building Permit Fee 111.25
Plan Review Fee 72.31
State Building Code Fee 4.50
Total Calculated: 188.06
Deposits/Receipts: 0.00
Total Due: 188.06
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, .Of 'f'
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED•: �til
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONI
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR.NOT,'TH1
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER pTAT ;'O1t
LOCAL LAW GU G CO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. :r•• !:1
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SIG ATURE OF WNER OR AUTHORIZED AGENT ISSUED BY CF.
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