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' �;Ails PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT <br /> Mailing Address: P.O. Box 547,Anacortes, WA 98221 <br /> Iriestuli\\ <br /> Office Location:904 6th Street, Anacortes WA 98821 <br /> 4coo3 Phone: (360)293-1901 <br /> 3Y <br /> Residential Building Permit App <br /> Submittal Packet <br /> New Single Family Residences (SFR) Duplexes Additions and Remodels (SFR& Duplex) <br /> Accessory Dwelling Units Manufactured Homes Residential decks and retaining walls <br /> FORM BP-1: RESIDENTIAL BUILDING PERMIT APPLICATION <br /> 1• PROPERTY INFORMATION <br /> Project Address(Street,Suite##): Assessor Parcel Number: <br /> Z 9 I g I7+1,S&.u.4- P‘2.74443 <br /> Subdivision/Lot#: Zoning Designation: Lot area (size):J '<ZVI: 4.) '7} 1 5Z sq.ft, <br /> 2. TYPE OF PROJECT <br /> ❑ New SFR ❑ New Accessory Dwelling Unit; ❑ Deck/porch (new/repair) <br /> El New Duplex El Attached to Primary Unit X Interior remodel <br /> r-, Detached from Primary Unit <br /> © New Addition to SFR ❑ Garage,carport or accessory building In Retaining wall <br /> or duplex (new/repair) <br /> D Other: <br /> ProjectSummary: • <br /> & 00 c curd a > la.,.-Wav—Qi T- -- - <br /> Project Va uation: $ 1 t,noni cg©O �cs'./-,t 4� 0 <br /> 3. PROPERTY OWNER� INFORMATION <br /> Name: 3irt++, , ejilnit f i r_ Phone: 5 to r14..3Z,n3q ICE' <br /> Address(Street,City,State,Zip): Email Address: r <br /> zg l lit I-1•►L4.54•_I An kco r�-•eS�WA" ct Z) ii LA-�ip I •c...--@ 11l4-V*.oD. Go v cr <br /> 4. CONTRACTOR INFORMATION_•.e� 1 <br /> me:* e� � - _ `,"t e'tone: 3 © _mil t,n _ .� - <br /> Contr or's Busi s tenses ate License#: Cipy License#: <br /> *All Contractors&Subcontractors must have a valid City V SC e"r$2.I C, ce °k •2-1C1 Z°1 <br /> of Anacortes business license prior to doing work in the Expiration Date: Expiration atte <br /> City. .I i �� <br /> Address(Street,City,State,Zip): • Email Address: • <br /> E.�- •7j 4'j 'F t�ilrrs �e��'l"V42-1 11P�S`‘ctib 0 � °�' • (-tern_.A,Co• 1 U ' RBZ84- U <br />