Laserfiche WebLink
BL - o ( 9 - <br /> Y )MMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT <br /> III RE-ROOF PERMIT APPLICATION <br /> ; �+ 4 ft L��Imo ilingAddress:P.O. Box 547, Anacortes, WA 98221 <br /> h a7EP ice Location: 904 6th Street,Anacortes WA 98821 <br /> Phone: (360) 293-1901 <br /> PLEASE REFER TO THE RE-ROOF PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS <br /> El RESIDENTIAL 0 COMMERCIAL <br /> PROJECT ADDRESS(Street,Suite#): PARCEL(s)#: <br /> 2308 12th ST P56371 <br /> Subdivision/Lot#: PROJECT VALUATION$ <br /> $9,126.20 <br /> APPLICANT: Phone: <br /> Peaks Northwest, LLC 360-770-59674 <br /> Address(Street,City,State,Zip): Email Address: <br /> 360 S Burlington Blvd, Burlington WA 98233 Aaron@PeaksNW.com <br /> PROPERTY OWNER: Phone: <br /> Samuel Guzik 971-801-2194 <br /> Address(Street,City,State,Zip): Email Address: <br /> 2308 12th st Anacortes WA 98221 <br /> CONTACT PERSON: Phone: <br /> Aaron Young - Owner, Peaks Northwest LLC 360-770-5974 <br /> Address(Street,City,State,Zip): Email Address: <br /> CONTRACTOR:* Phone: <br /> Peaks Northwest Roofing 360-770-5974 <br /> Address(Street,City,State,Zip): Email Address <br /> 360 S Burlington Blvd, Burlington WA 98233 Aaron@PeaksNW.com <br /> *All Contractors&subcontractors must have a valid CityofContractor's License# Exp. 2 <br /> PEAKSNL835KJ 05-12-20: <br /> 21 <br /> Anacortes business license prior to doing work in the City. Business License#: Exp.Date: <br /> Contact the City's Finance Department at(360)299-1968. 604-111-721 04/20/2020 <br /> PROPOSED WORK: Remove existing laminate shingle roofing,install new lifetime warranty GAF Timberline HD composition roofing shingles. <br /> 26g Painted Steel flashings on all edges and penetrations.Ice&Water underlayment around skylight,chimney and pipe.Vented ridge system. <br /> TYPE OF ROOFING: Comp/GAF Timberline HD NUMBER OF LAYERS: 1 <br /> CLASS OF ROOFING: 10 A ❑ B ❑ C NUMBER OF SQUARES: 10 <br /> I declare under penalty of perjury that the information I have provided on this form/application is true,correct,and <br /> complete,and that I am the property owner or duly authorized agent of the property owner to submit a permit <br /> application to the City of Anacortes. <br /> Print Name: Aaron Young-Owner,Peaks Northwest LLC Owner IZI Other 0(specify): <br /> Signature: Date: 09/ 20/2-®9/ <br /> Page 1of2 <br />