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( G% Y 00 City of Anacortes Permit#: BLD-2003-9073 <br /> • , 904 6th Street Issue date: 10/03/2003 <br /> .", ,�e P.O.Box 547 Expire date: 10/02/2004 <br /> V'"' - CO Anacortes, WA 98221-0547 <br /> `_cot , <br /> Job Address: 1019 36TH ST <br /> ANACORTES WA 98221 <br /> APN: P32085 <br /> Permit Type: Reroof Single Family Residence <br /> Project: <br /> Remarks: Tear off existing roofing and install 30 year laminated composition and ridge vents. <br /> Applicant: LOHR FAMILY REVOCABLE TRUST Owner: LOHR FAMILY REVOCABLE TRUST <br /> Address: Address: <br /> Phone: Phone: <br /> Contractor: ESARY ROOFING&SIDING CO INC <br /> Addressr: 420 PEASE RD <br /> BURLINGTON WA 98233 <br /> Phone: <br /> License#: <br /> General Information: Fees: <br /> Building Valuation 3000 Building Permit Fee 38.50 <br /> State Building Code Fee 4.50 <br /> Total Calculated: 43.00 <br /> Deposits/Receipts: 0.00 <br /> * * 0 1 0 of Total Due: 43.00 <br /> if O O <br /> ^COa ** j cif if . if * CO CO <br /> ic- <br /> -A- -X- fa as <br /> X- ,�CVN * if iC. O .U fa X- of. <br /> X- CO a 0 if <br /> 1-1 if -If 1 <br /> K*_ CO U O 4 X- --X- * <br /> it '- OO aJ if m 44. . * <br /> 44- O CV it L1 i*f (U if ,p <br /> 0 _ if if U if x- <br /> tico <br /> it L� Z -%- -- <br /> X- '� +' I '-1 if if II II <br /> * O a) O -* w if C C II * i-' '* <br /> ;[- _ -W --X- E O iC- .---% <br /> r -K- if <br /> if ice, a i if Cn CO X- q >. • if U <br /> a 01 LL * LU ^ -X- 2 -%- if- -Q <br /> if U C ik W = if !r >n iF cc -% N,_ <br /> Ti -- ih LL I— <br /> * iF -cc CO VJ Y O -%- 1f L co <br /> it \++ aJ '* CO I- x' W CJ CV if -X- aJ ++ <br /> - ,—I .* if -X- C I— <br /> . if <br /> K a o I— "-X* E O) -I-, i0 tt- -X- -X- al <br /> D) CJ\ ?* Cr — �' aJ O 4- if X- I— -I-,* CU U CU if W O +f <br /> O 4- if at f 0 Y if 0 U _ <br /> X- * 0 a) -x- a if iY - <br /> THIS APPLICATION IS RECEIVED BY THE BUILDING OFFICIAL UNDER THE PROVISIONS OF THE UNIFORM BUILDING CODE, AND SHALL <br /> EXPIRE BY LIMITATION AND BECOME NULL AND VOID IF PERMIT IS NOT OBTAINED WITHIN 180 DAYS OF THIS APPLICATION. BY AFFIXING <br /> MY SIGNATURE I HEREBY CERTIFY THAT I AM THE LEGAL OWNER OF THE PROPERTY FOR WHICH THIS APPLICATION IS ISSUED OR AN <br /> AUTHORIZED AGENT OF THE OWNER.ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED I <br /> WITH WHETHER SPECIFIED HEREIN OR NOT, INCLUDING CALLS FOR INSPECTIONS. t�om^ <br /> r y 0 J tr- 1' o LSLJ�c-€- 1 <br /> Applicant Signature Issued by <br /> onr_r 1 CIF 1 I'I <br />