HomeMy WebLinkAboutPermit File 819 4th Street 1: X
``' � O '- City
904 of6thStreet Anacortes Invoice/Permit#: BLD-2017-0140
�,��'`
Applied date: 03/20/2017
P.O.Box 547
Issue date: 03/20/2017
t s
7 Anacortes, WA 98221-0547
A% sA (360) 293-1901 Expire date: 03/15/2018
isi0 Q`}-•
Job Address: 819 4TH ST Permit Type: Demolition Permit
ANACORTES WA 98221-1506 Project:
APN: P54936
Remarks: Demo Existing House
Owner: DAKOTA CREEK INDUSTRIES INC Contractor:
Address: PO BOX 218 Address:
ANACORTES WA 98221-0218
Phone: Phone:
License#:
General Information: Fees:
Total Calculated:
Adjustments:
Deposits/Receipts:
Total Due:
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 CG, STRU - a OR THE PERFORMANCE OF CONSTRUCTION.
c\N
V
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY