HomeMy WebLinkAboutPermit File 2109 Creekside Circle -• '8.' - � 4 4_ City of Anacortes Invoice/Permit#: BLD-2015-0552
904 6th Street
-` ''"� P.O.Box 547 Applied date: 10/23/2015
Issue date: 10/23/2015
t_3" 67,-'' Anacortes, WA 98221-0547
.,M (360) 293-1901 Expire date: 04/20/2017
Job Address: 2109 CREEKSIDE CIR Permit Type: Mechanical Permit
ANACORTES WA 98221-2461 Project:
APN: P84012
Remarks: Install gas water heater
Owner: CRAIG SANDRA LYNNE Contractor: TRI-COUNTY PLUMBING
Address: 2109 CREEKSIDE CIR Address: 1004 COMMERCIAL AVE
ANACORTES WA 98221-2461 ANACORTES WA 98221-4117
Phone: Phone:
License#:
General Information: Fees:
#of Gas Water Heaters 1 Mechanical Permit Fees 34.15
Total Calculated: 34.15
Deposits/Receipts: 0.00
Total Due: 34.15
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 SPECIFIEDIyIEREIN OR NOT, THE
GRANTING OF A PERMIT DOES NOT P UME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROV IONS OF ANY OTHER STATE OR
LOCAL LAW REGULATING CONSTR TION THE PERFORMANCE OF CONSTRUCTION.
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SIGNATURE OF OWNER OR AUTHORIZED AGENT ISS ED BY
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Finance Department
015502-0002 Carla B. 10/23/2015 08:32AM
PERMITS AND INSPECTIONS
TRT'COUNTY PLUMBING
BLD-2015-0551
Mechanical Permit
Install gas Naf8[ heater
issued
2015 Item: BL8'2015-0551 34-15
Payment Id: 81912
TRT-COUNTY PLUMBING
BLD-2015-0550
Mechanical Permit
Install gad water heater
188ued
2015 Item: 8LU-2015-0550 34.15
Payment Id: 81913
TRI-COUNTY PLUMBING
BLO-2015-8552
Mechanical Permit
Install gau water heater
issued
2015 Item: 8[U-2015-0553 34.15
Payment ]d: 81914
|83'45
Subtotal 102'45
Total 102.45
03FINANCE CREDIT CARD 107.45
Visa *********4**6198
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AUth=555353
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ChaOQe due 0.00
Paid by: RICHAR0 PERKINS
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Signature:
Thank You for your payment
COPY
DUPLICATE RECEIPT