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ltResidential Building Permit Applicatioiy !_ <br /> Building Department s' MAR t <br /> ;gole c�q P.O. Box 547 Anacortes, WA 98221 , -, , _ . 'i <br /> Phone Na: 360-293-1901 FAX: 360.293.1938 __ ` ml' �d a .., .n`.t',E" <br /> SITE ADDRESS:Z5j I g 11714 S T AH ACo 2 TES, w R QS t2 ( <br /> CONTRACTOR. ?C1�/' ❑.A�p'pliccaant : PROJE.(tliES�CRIPSIN <br /> TION , <br /> !'. NameSTPANbetER Ocar4S G CVSf 6I� ► SI IU4 L.L FAI%ALLq <br /> Address PC. Banc 3 sR (ZEST D E Nt GE <br /> City/State/ZipM4ft* jTE' UA 1AU/ <br /> PhoneJ47 743I FAX at4460 <br /> State License# Exp <br /> PARCEL'NUMBER <br /> City of Anacortes License P(Z7 443 <br /> PROPERTY OWNER . []Applicant LEGALDESCRIPTIOIN: . ' <br /> Name3OFk_ K D1P&LA 6.iPThy <br /> Address410O4, H IL.KOr! Dit <br /> City/State/Zip A)41# I i kt&t' PROJECT VALUATION <br /> h`N PhoneS8S''130 FAX <br /> Number of Dwelling Units 2 <br /> E-Mail Address Number of Stories 3 <br /> Building Area: tl <br /> Architect t. Designer D'Engineer$;A plicant Is'Floorz,Zp J s.f. 2""Floor s.f. <br /> NameA S A-A1-E2 n <br /> '/ A.}"1 t-t PSC ri Floor 1 t 1 s.f. Basement 4 o f� s.f. <br /> 1C� <br /> !: Address Pc. ,St X 319 Garage `{G I s.f. Carport s.f. <br /> City/State/Zip4(4&COR7 51 Ithlk ISal Deck 1 314 s.f. Lot Area (1 tS Z 4s.f. <br /> Phoon�eZg �3143 I FAX Nit p-6660 <br /> 61m i arttnii� 1OI19trucA tin.G0� <br /> ;CONTACT pplicant LENDER - - - - <br /> LENDER INFORMATION MUST BE PROVIDED FOR PROJECTS OVER$5,000 <br /> Name • IN VALUATION PER RCW. <br /> Address Name <br /> City/State/Zip Address <br /> :1 Phone FAX City/State/Zip <br /> I'.. E-mail Address Phone No. / <br /> F?. CONTINUED ON THE BACK �q — O` <br />