HomeMy WebLinkAboutPermit File 4911 Portalis Way (3) X Cityof Anacortes Invoice/Permit#: BLD-2017-0084
904 6th Street Applied date: 02/16/2017
"!�" "' P.O.Box 547
Anacortes, WA 98221-0547 Issue date: 02/16/2017
Expire date: 08/15/2018
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(360)293-1901
Job Address: 4911 PORTALIS WAY Permit Type: Mechanical Permit
ANACORTES WA 98221-4011 Project:
APN: P122192
Remarks: Replacring Natural gas water heater with same.
Owner: CLIFF CISCO Contractor: FOSS HEATING AND COOLING
Address: 4911 PORTALIS WAY Address: 333 E BLACKBURN RD
ANACORTES WA 98221-4011 MOUNT VERNON WA 98273-9006
Phone: Phone: (360)336-1517
License#: FOSSHCI983QA
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
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN'180 DAY ,iF6IR11
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK eCOMMENO. D.:' L1,,
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECt'ALL PRpV1 IC IV
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 S'T 'E F,
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. *' cr., '=?
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SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSU BY rI +rl j