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HomeMy WebLinkAboutPermit File BLD-2020-0388 3819 J Avenue Cityof Anacortes 904 6th Street Invoice/Permit #: BLD-2020-0388 `',10101114elemi'w- Applied date: 07/06/2020 P.O.Box 547 Issue date 07/06/2020 Anacor tes, WA 98221-0547 Expire date: 01/02/2022 t't (360) 293-1901 Job Address: 3819 J AVE Permit Type: Plumbing Permit ANACORTES WA 98221-3572 Project: APN: P56934 Remarks: SIDE SEWER REPLACEMENT FROM HOME TO SEWER STUB. Owner: MARY ROYERS Contractor: ABOUT PLUMBING Address: 3819 J AVE Address: PO BOX 538 ANACORTES WA 98221-3572 SEDRO-WOOLLEY WA 98284 Phone: (360) 588-0375 Phone: (360) 399-1273 License #: General Information: Fees: # of Side Sewer 1 Plumbing Permit Fee 35.00 Total Calculated: 35.00 Deposits/Receipts: 0.00 Total Due: 35.00 Permits and Ins . . - RL n-7n7n-nncR._ 7n7n The issuance orpgranting or this permit sha1f not be construed to be a permit for, or approval of, any violation of this Code or any other ordinance or order of t W i19;g i}Vgth ibr.fg-aIn9 ? 8POrAl order, proclamation, guidance advice or decision of the Governor of this State. To the extent the issuance or grkinitig OfEtilliV15ftqltviSirt1Brpreted to allow construction activity during any period of time when such construction is prohibited or restricted by any state or f. a ur �� op a a ion, guidance advice or decision of the Governor of this State, this permit shall not authorize such work and shall not be v�aT� he buildi g�official�isaulthorized to prevent occupancy or use of a structure where in violation of this Code, any other City ordinances of this jE itti rN8 4 y other ordinanr3 •®Pexecutive order of the City, or of any state or federal law, or of any order, proclamation, guidance advice or decision of tivaicatpp, tpuilding offigfa13i authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect, i,raaf r te.o.r inc..omplestepformation, or in violation of any City ordinance, regulation or order, state or federal law, or any order, proclamation, guidance or decision of the Governor. this permit becomes null and void if work or construction authorized is not commenced within 180 days or if construction work is suspended or abandoned for a period of 180 days at any time after work is commenced. I have read and examined this application and know the same to be true and correct. SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUE • --- L D - 2620 C 3S' 7 __ f - . ,_ PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT --= PLUMBING & MECHANICAL PERMIT APPLICATION Mailing Address:P.O. Box 547, Anacortes, WA 98221 G071-01K' Office Location: 904 6th,Street, Anacortes WA 98821 Phone: (360) 293-1901 PLEASE REFER TO THE PLUMBING&MECHANICAL PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS PROJECT ADDRESS (Street,Suite#l): 9 ii PARCEL(S)#: PROJECT VALUATION: 34sl of 3- Av-e. i61--nc co -t Oda._ Subdivision/Lot#: RESIDENTIAL COMMERCIAL 0 APPL T: Phone: , Address(Street,Ci ,State,Zip): q� Ema Ad s. 30te LP s c 9' S.W , Wei_ - (3(0 : Cl 9 — 1215 9si PRO ERTY OWNER: Phone: 1kOu-er5L Cro,ig 5100 92 -al 9 , Address(S'reet City,State, i : Email Address: 381 "3- ri-ve.- n&cL r b-P1'I 9TA4-1 rra g r() a--s@ cgrIcIAL QOv-1 04, CONTACT PERSON: Phone: Address(Street,City,State,Zip): Email Address: l'i-S al 1 CONTRACTOR:* Phone: w��0 1.4r 1 C1 " ` 4-46WL-1 kAt....txrburvl (3116 399— 1 2:1 3 Address(Street,Ci ,State,Zi ); Email Address: *All Contractors&subcontractors must have a valid City of Professional License#:/\ Exp.Date: Anacortes business license prior to doing work in the City. on 006( I DO '13!Z0�2 Contact the City's Finance Department at(360)299-1968. Business �icense#: Exp.Date: Is this work, associated with another project? Yes ❑ No' \ If yes,specify: PROPOSED WORK: 5 i�(i Se� .1� f 1aJ rr * * a r r v' - ) I declare under penalty of perjury that the information I have provided on this foini/application is true,correct,and complete, and that I am the property owner or duly authorized agent of the property owner to submit a permit application to the City of Anacort s. Print Name: d�`, Q L® Owner Agent ❑ (specify): Signature: -,,> it\_.-t Date: 2 /2.--0 ---P,rrtak-Qff.t., , \1\20-zO ;'/++I 1 tt, La ',op::„ q ( • ta ei, , . 1 O o Ir fit. •.4 , ,4,40 11 { ACI• JI 0 0 ir E L11tl ; yl �it lit *•� • �i -. . .1 IE '4,, , (I ra�j111 k•II } 401 `'1I' t ' . r :11 �'\ r }} O O 11 ' I C/J 411 III lib V' {I �` ,I` 110.,IItiL!JY I. -• —p��.p r,._,I r 51 y 1 1, lN1416 frI•I ' � , • ,r1.1 III? ' ` as) � }1 11 1\\ , t hit 1 ,11 /r }r� /r^1r/� �� • • Y • -r^- • . ' `�W I�l � ). t\ �' A1J •`/` /Ca VJ vl II , � r 1 Y = CO)�/J �'� tl It 1l.' 1111 tt. 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