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• <br /> ,s= Residential Building Permit Application <br /> ` Building Department <br /> -go yam"-gooier <br /> P.O. Box 547 Anacortes, WA 98221 <br /> aa`�s Phone No.: 360-293-1901 FAX: 360.293.1938 <br /> • <br /> SITE ADDRESS: 19_17 22 n° <br /> CONTRACTOR ❑Applicant PROJECT DESCRIPTION <br /> Name <br /> CnWer� ar �� thin <br /> 1. � v I <br /> Address <br /> City/State/Zip <br /> Phon- F <br /> State License# Exp <br /> City of Anacortes License <br /> / PROPERTY OWNER ❑Applicant <LEr-si nF'C�_S___RTP_TION <br /> Name +�\cam Steven \ <br /> Address? .. 1 °X /S l 3 <br /> City/State/Zip fnA CON-` e-%/L1' ) qg2 -l PROIJECT VALUATION <br /> I.a V ST FAX <br /> Phone � �• <br /> Number of Dwe ing Units <br /> E-Mail Address{,""�.i,� •"}kt �'6�r 'i� rNumber of Stories <br /> J Building Area: <br /> ❑Architect 0 Designer 0 Engineer❑ pplicant ]'`Floor s.f. 2"d F .or s.f. <br /> Name 3rd Floor s.f. :.Bement s.f. <br /> Address Garage s.f. Carport s.f. <br /> • <br /> City/State/ Deck s.•. Lot Area s.f. <br /> P ne <br /> E-mail Address <br /> CONTACT ,Applicant LENDER <br /> M LENDER INFORMA'ON MUST BE PROV PED FOR PROJECTS OVER$5,000 <br /> Name / 1 01. tr stevt.on IN VALUATION PA' RCW. <br /> Address PO. }max' tcq3 Name <br /> City/State/Zip/OJ' V I eS CAA' 7,22( Address <br /> Phone. O.Sag.fi3 C FAX City/'tate/Zip <br /> • <br /> E-mail Address fl O 66eibA.CA1 to Phone No. <br /> CONTINUED ON THE BACK <br />