HomeMy WebLinkAboutPermit File 309 34th Street rG'T4Y O':_ City of Anacortes Permit#: ROW-2011-0091
f 904 6th Street Issue date:
P.O.Box 547 Expire date: 10/10/2012
.��" C!?s Anacortes, WA 98221-0547
Job Address: 309 34TH ST Permit Type: Right of Way Permit
ANACORTES WA 98221 Project:
APN: P33196
Remarks: One time impact fee offsetting any impacts created by truck traffic from the site cleanup activity.
Owner: GBH INVESTMENTS Contractor:
Address: 13941 GIBRALTER RD Address:
ANACORTES WA 98221-8649
Phone: Phone:
License#:
General Information: Fees:
Cable N In Lieu of Construction 8,503.00
Inside Traveled Way N Total Calculated: 8,503.00
Outside Traveled Way N
Culvert N Deposits/Receipts: 8,503.00
Natural Gas N Total Due: 0.00
Power N
Telephone N
Sewer N
Water N i
Storm N 1
Street Cut N i
Sewer Reinspection N
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 CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY