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PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPA, 5 <br /> s3 r <br /> � Mailing Address:P.O. Box 547,Anacortes, WA 98221 (; �l <br /> Office Location:904 6th Street, Anacortes WA 98821 t9 <br /> 724 Phone: (360)293-1901 JAN 11 •1O2Q <br /> '<cod <br /> RTES <br /> FORM BP-1: RESIDENTIAL BUILDING PERMIT APPLICATION <br /> 1. PROPERTY INFORMATION <br /> Project Address(Street,Suite#): Assessor Parcel Number: <br /> 2 008 (O`' 4.4-• <br /> Subdivision/Lot#: Zoning Designation: Lot area(size): <br /> sq.ft. <br /> 2. TYPE OF PROJECT <br /> ❑ New SFR ❑ New Accessory Dwelling Unit: ❑ Deck/porch (new/repair) <br /> ❑ New Duplex ❑ Attached to Primary Unit 10-- Interior remodel <br /> ❑ Detached from Primary Unit <br /> ❑ New Addition to SFR ❑ Garage,carport or accessory building ❑ Fence or retaining wall <br /> or duplex (new/repair) <br /> ❑ Other: <br /> Project Summary: �cw,L)lc--�c,4 5lq(l.-c)c t �ltic. ��•S w«-.c rci 1y <br /> t^rn�c r y17,-4}kc.) c.►ur tc .ccrvt e y d am. <br /> Project Valuation: $ LIl 600 � <br /> 3. PROPERTY OWNER INFORMATION <br /> Name: I Phone:( ,�- 1�� , c� (3 do) 86M-'� 2--S t <br /> Address(Street,City,State,Zip):i A ,` Email A drress: • <br /> L M <br /> i00 to - <br /> 4. CONTRACTOR INFORMATION '1,$t2t <br /> Name:* Phone: <br /> t<eys�4)(1 �,�r .� . 'te v (.3 40 5 B -tl`8‘'t <br /> Contractor's Business Licenses State License l: City License#: <br /> *All Contractors&Subcontractors must have a valid City 1,0 3 323 3t p., kr(511;59% MO <br /> of Anacortes business license prior to doing work in the Expiration D te: Ex it tion Date: <br /> City. � 3(�Z v to �[31/Zv <br /> Address(Street,City,State,Zip): Email Address: <br /> 5. CONTACT PERSON <br /> Select one person the city will contact for anything <br /> related to this project: ❑ Applicant ❑ Property Owner ® Contractor <br /> ❑ Other(list below) <br /> Name: C r c, � o�irV. Phone: (No)o) S sB•Li i 8a <br /> Address(Street,City,State,Zip): Email Address: <br /> (co/ 14. \ e.1o , c �. vC(y`gw�..; •c.a,r <br /> • . <br /> NittAcor&cS �9.. 412 2- -` �1 <br /> Res.Building Permit Application Submittal Checklist <br /> Updated October 10,2019 <br /> Page 5 of 18 <br />