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0 r;� PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT <br /> Mailing Address:P.O. Box 547, Anacortes, WA 98221 <br /> Office Location:904 6th Street, Anacortes WA 98821 rr ��P� sof 1.r. <br /> 'ti w Phone: (360)293-1901 ``` <br /> imoirmsr l isii.ot , C <br /> FORM BP-1: RESIDENTIAL BUILDING PERMIT APPLICATION Ii K is? <br /> 1. PROPERTY INFORMATION <br /> Project Address(Street,Suite#): Assessor Parcel Number: <br /> 2,20S 12I^ TV- ?5 (P rl- <br /> Subdi isio Ito �n/Lot#w Zoning Designation: Lot area (size): L_ J r ^ <br /> l,1�lc' off` Io+ 17 RZ P� `F' sq.ft. <br /> 2. TYPE OF PROJECT <br /> ❑ New SFR 0 New Accessory Dwelling Unit: 0 Deck/porch (new/repair) <br /> ❑ New Duplex 0 Attached to Primary Unit )l 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: add U-I-t <br /> U f L� lr. Sv�S bas r * vdmi niroom , will 4or demon <br /> Project Valuation: $ IZ, DOD <br /> 3. PROPERTY OWNER INFORMATION <br /> Name: c J�� �UZIk Phone(oii i) Oo — t s <br /> Address(Street,City,State,Zip): Email Address: <br /> 1-4A rlikST v�At ores IN,1 C Z tl J-e SS lc L . S1N Q`.Qp a' 9 rvx a,l • e o wk <br /> 4. CONTRACTOR INFORMATION <br /> Name:* Phone: <br /> 1-1 I ow vU/XS <br /> Contractor's Business Licenses State License#: City License#: <br /> *All Contractors&Subcontractors must have a valid City <br /> of Anacortes business license prior to doing work in the Expiration Date: Expiration Date: <br /> City. <br /> Address(Street,City,State,Zip): Email Address: <br /> 5. CONTACT PERSON <br /> Select one person the city will contact for anything Applicant rg Property Owner cg Contractor <br /> related to this project: Other(list below) <br /> Name: �S� C01/4- �'" Vu`L Phone: <br /> Address(Street,City,State,Zip): Email Address: <br /> /,'502 I 2141 ST SSica sw P gnu, k • cow, <br /> v\a- o ra-e S,W et $2 z, <br /> Res.Building Permit Application Submittal Checklist ,'f i ',h_ (/�J/i_ iI /7 t- ✓4.77e.--) <br /> Updated October 10,2019 <br /> O J 1/ Page5of18 <br /> - 3'- z97 — Y2Y? <br />