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Permit File 1311 10th Street
0524904-1 0008 09/06/2005 002 8 Permit Fees 006640 $388.90 • 8.. Y 9 . City of Anacortes Permit#: BLD-2005-0683 904 6th Street Issue date: 09/06/2005 "14 P.O.Box 547 '4' CO;' Anacortes, WA 98221-0547 Expire date: 09/06/2006 '„len (360) 293-1901 Job Address: 1311 10TH ST Permit Type: Mechanical Permit ANACORTES WA 98221-1901 Project: APN: P55596 Remarks: Install gas fire place and gas piping. Owner: LOUGH KAREN L Contractor: Address: 1311 10TH ST Address: 1 ANACORTES WA 98221-1901 Phone: (360) 293-6797 Phone: License#: General Information: Fees: #of Gas Fireplace 1 Mechanical Permit Fees 38.90 #of Gas Piping 1 Total Calculated: 38.90 Deposits/Receipts: 0.00 Total Due: 38.90 LIII jr HHHLUItIta MUNICIPAL DULLDIr1G S54 6TH STREET c 60) 293-1908 FINANCE DEPA-TIEi i I EEG-FCEIPT:03-5103857 C:Sep 24 1939 CASHIER IDoil 11:54 ammi A:9e0 24 1933 1126 BUILDING PERNI. FE 'E TOTAL DUE $34.15 IRECETED FROM: KAREN LOUGH NECK: $34.15 TOTAL TENDERED $3 •15 UhAFIGE DUE ,G.50 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 0 LOCAL LAW REG EATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ) r ' 1 \ir� SIGNATURE OF OWNER OR AUTHORIZE NT ISSUED BY V MECHANICAL PERMIT CITY OF ANACORTES P.O. BOX 547 PERMIT NO.: MEC1999-00076 ANACORTES,WA 98221 APPLIED: 99-09-24 (360)293-1901 ISSUED: 99-09-24 EXPIRES: 00-09-24 SITE ADDRESS: 1311 10TH STREET ASSESSOR'S PARCEL NO.: 3772-097-006-0000 TYPE OF WORK: NEW TYPE OF USE: RES PROJECT DESCRIPTION: Add new pellet stove. OWNER CONTRACTOR KAREN LOUGH 1311 10TH STREET ANACORTES,WA 98221 Primary Phone: Primary Phone: Phone 1: 293-6797 Phone 1: License#: Equipment Fees Equipment Type Quantity Type By Date Receipt Amount Other Units 1 PRMT MRD 99-09-24 $34.15 Total: $34.15 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. Issued By: Arl�lica or Owner's ig a�turerk \ 24 Hour Notice Required For All Inspections CONDITIONS OF APPROVAL: Address nil /0 -t 53p Legal Description ( /012r till 4<c ,s'f4 &k 97 Ocll; Assessors Account No. 3772, _ r9q- obi -© 0 a Z) Permit No. Date Description Date Finaled lc{4( 2 2.6)-7 el Etc( aka 3f32 Y3Hg44 4iaas�