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i� <br /> y 0 PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT t) <br /> `. Mailing Address: P.O. Box 547, Anacortes, WA 98221 _ 2 i Z0 I( <br /> Office Location: 904 6th Street, Anacortes WA 98821 • <br /> • ` Phone: (360) 293-1901 ► •�,1 - <br /> c•o� .. HTIr;� <br /> 1fral <br /> FENCE PERMIT APPLICATION ' ' <br /> Please complete all applicable information and submit to buildingpermit@cityofan to <br /> PROPERTY INFORMATION <br /> PROJECT ADDRESS ASSESSOR PARCEL NUMBER: <br /> g i 5- 5)454 Pilaw D R i v e_ 1}Y14ia.1-As� <br /> SUBDIVISION/LOT#: ' ZONING DESIGNATION: <br /> FENCE INFORMATION —See attached information sheet <br /> LOT TYPE HEIGHT MATERIAL <br /> El Corner Front: ❑Wood <br /> ❑Interior Side: ® Chain Link* <br /> ❑Through Side: ❑Other: <br /> Rear *See AMC 19.66.070 for areas where <br /> chain link is prohibited) <br /> PROPERTY OWNER INFORMATION <br /> N ME PHONE <br /> \_:kYtc1/4\„.0V,ri - as 5 <br /> ADDRESS EMAIL <br /> I . fis'CYK 9r• JNYI aceC ce ty2tMAxk act- -. ssnerte-5 <br /> CONTRACTOR INFORMATION <br /> NAME* PHONE <br /> 5 3 to -7360 <br /> -A-L (vl 5LY C'1 <br /> STATE LICENSE# EXPIRATION <br /> CONTRACTOR'S BUSINESS LICENSES (003 O (v) Z <br /> CP 1 7- <br /> *All Contractors & Subcontractors must have a valid 1 1p <br /> City of Anacortes business license prior to doing work UBI LICENSE# EXPIRATION <br /> in the City. <br /> ADDRESS(STREET,CITY,STATE,ZIP) EMAIL <br /> 167 R t'e (vtc w c v-v,46.1 <br /> ,. <br /> CONTACT PERSON -Select one person the city will contact for anything related to this project <br /> ®PROPERTY OWNER ❑CONTRACTOR ['POTHER: <br /> NAME PHONE <br /> ADDRESS(STREET,CITY,STATE,ZIP) EMAIL <br /> yf5 �Pctk -. ( tar 5tu)k Ce&�� �rC‘47 e-S co114 <br /> Fanrp Pprmit Appliratinn <br /> Updated December 2021 Page 1 of 4 <br />