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Permit File BLD-2020-0404 1718 12th Street
0 • Cityof Anacortes Invoice/Permit #: BLD-2020-0404 904 6th Street Applied date: 07/14/2020 '"01611ell �'' P.O.Box 547 Issue date: 07/14/2020 . Ai ocorfes, WA 98221-0547 ,,, � Expire date: 01/10/2022 (360) 293-1901 Job Address: 1718 12TH ST Permit Type: Plumbing Permit ANACORTES WA 98221-2115 Project: APN: P56546 P56547 Remarks: REPLACE MAIN SEWER LINE FROM HOUSE TO CLEANOUT. ALL WORK WILL BE DONE ON OWNER'S PROPERTY. Owner: MEL MESSINA Contractor: JO ABSOLUTE PLUMBING INC Address: 1718 12TH ST Address: 222 ANDERSON RD SUITE A ANACORTES WA 98221-2115 MOUNT VERNON WA 98274 Phone: (360) 293-2551 Phone: (360) 610-6141 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 The issuance or granting of this permit shall not be construed to be a permit for, or approval of, any violation of this Code or any other ordinance or order of the City, of any state or federal law, or of any order, proclamation, guidance advice or decision of the Governor of this State. To the extent the issuance or granting of this permit is interpreted to allow construction activity during any period of time when such construction is prohibited or restricted by any state or federal law, or order, proclamation, guidance advice or decisio ! of tht. Governor of this State, this permit shall riot authorize such work and shall not be valid. The building official is authorized to prevent occupancy or use of a structure where in violation of this Code, any other City ordinances of this jurisdiction or any other ordinance or executive order of the City, or of any state or federal law, or of any order, proclamation, guidance advice or decision of the Governor. The building official is authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect, inaccurate or incomplete information, 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 examin ' application and know the same to be true and correct. SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY Y: (,) \ • -41.4111V-."1 1` 1Cit -41 C 81:14"1 Finance Department 020257-0009 Erin W. 07/14/2020 01:09PM PERMITS AND INSPECTIONS JO ABSOLUTE PLUMBING INC BLD-2020-0404 Plumbing Permit REPLACE MAIN SEWER LINE FROM HOUSE TO CL issued 2020 Item: BLD-2020-0404 Plumbing Permit Fee 35.00 Payment Id: 287477 35.00 Subtotal 35.00 Fee FEE 0.53 Total 35.53 O3FINANCE CREDIT CARD 35.53 Visa ************2276 Ref=42114983645 Auth.003483 2276 1 Change due 0.00 Paid by: Jeremy Oliver Ill Signature: Thank you for your payment COPY DUPLICATE RECEIPT __ , i - _ _ -_- .__ . .___ . -- '4 i.;i '. l-,S ' •(:, ' .i . - !:-.2'. '' ft i ' il l' i it 1 i 11 11 JUL 1 42020 : '-- -Aj ..1'•-, 0 PII*NNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT ,,..i7H__FVK:011 •:.,, ANAWV311 i!-_. °PLUMBING & MECHANICAL PERMIT APPLICATION 41201:4V Mailing Address: P.O. Box 547, Anacories, WA 98221 Office Location: 904 6th Street, Anacortes WA 98821 ,.......,, ..-- Phone: (360) 293. 1901 PLEASE REFER TO THE PLUMBING & MECH4 NATAL PERMIT CHECK:LET FOR:SUBMITTAL REOUREMEATS ... PROJECT ADDRESS (Street, Suite #) PARCEL(S).#: PROJECT VAtiATION: it 'g, itcl v.- Sfrt.e.--1- 5ep ".- 1-1-7 ,---(1, ,\: c3-,.../ , -,,.. ,,,, . f •'''' - _____ §tibd i V i Si OTLFLot li: RFSIDFKTI ALL :Er- COMMERCIAL 73 55h-btit't-S tint- I I a fa' 4,-)e•S-f do' 0( /3 610c-k, I i - _____ - APPLICANT: 7,-Phone: . , t /4 1 i : ..., .Address (Street, City. Staie. Zip): Email Address: VO 6°X I 446- fficuri- ‘164/n r) 44.4ti 47:d 1 3 giiS*010-fei>14,0v-k)4:45 4.411474",407/700 . CeifYI PROPERTY OWNER: Phone: 5iiAtti a All 611/t'(I 1411 _ VI? 36PC) 2473 - ZS 5 i AddressAStreet, City. State. Lip): Email Address: 1 7 i /4:; ' „St ti-in,;,) coir'i''AS 44,43 qg Oa q - .._...,. CONTACT PERSON: Phone: ,..) tre,r9 Oitve-- 3410 6710 - 6914 t Address (Street, Cits , State. Zip) Email Address: 1 120 ,0% 1 Li g 5. tri Down* ViAto oil 1,4)19 g87 3 P-`101i4:4?-91.koritloi:65 ‘ilfirhoiot com . 1 CONTRACTOR„,"', Phone: _ J D Hbs,oicict-e, vizArribifset54 Joe, 36C) &10 - erit-I 1 Address (Street. City, State, Zip): Email Address: , 22, Aidalsori ‘ri'ad. <Ste, fiv,t olopvt Variori 4c)-6i qe-d73 tptisioit,44-qhwee,6145z47e.y.,,A 410 k C-6 )4-'1. Professional License '4: Exp. Date: Mil Contractors & .subeontractors must have a )'a/id City of fif1/4501A9 4'8,1 0 D ogitok I 1,90,?---i Anacortes business license prior to doing work in.the Go% — ! # p, I Contact the City',s Finance Department at (360 299-1968„ Business License : Ex Date: i ,,, Is this work, associated with another project? Yes ri No 'Er If yes, specify: PROPOSED WORK: 12,1 12 C.-14.. ma In 6641.34,- /i (1.4 .• . „ _ , — • I declare under penalty of perjury that the information I have provided on this fbrmiapplication 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 Anacortes, . . , • . Print Name: Owner E Agent El (specify):. Signature: Date: • • • , I I I 1 ' I ' ' I • j :z i` • t of •.I 1t {y,b }.; • 'Z., „<:. ,�, x. t . 2. ' a, • • • . .Ai% :;f, . �qG arXC. .. .:c : ri`. 15i. .V=,x, • . {'�,.{. , :,�.,) P`. , ' { 2- 1 . ..k.• ,4 ,.t ,{ s , �,:,'2a. \''^3��•it. •�• '" t•Gfr ..{. y 'TC2 = .;1.6Q` :r: �' r .2 I " q,Pl ti 1+f•Y,# RC •. Jr �f?� 4'< . z�. . . .f s i • , ,,, . :; c� 'fir: .' ifz £ v d3 •,<2L•, y S r b „? .� :s.r., tNk .c fats •. } ' t ;' .y, ' Yv: ^ ``�, 4 .'✓"ti '2fC' i , ' J ` '2: .v . `i 2 tf A t , i. 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