5/9/2022 9:23:27 AM
5/9/2022 9:23:20 AM
Applicant Name (LN, FN)
CUP-2022-0003 - Anacortes Readiness Center Addition and Alteration
RENOVATION AND ADDITION OF THE EXISTING ANACORTES READINESS CENTER. WORK INCLUDES 3,600 SF BUILDING ADDITION WITH NEW CLASSROOMS, FITNESS ROOM AND CORRIDOR. ALTERATIONS TO PORTIONS OF THE EXISTING INCLUDE NEW TOILET/SHOWER ROOMS, KITCHEN, CONFERENCE, MOTHER’S ROOM, MULTIPURPOSE ROOM, AND A NEW ADA L
2219 M AVE ANACORTES, WA 98221-3728
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<br /> <br /> <br /> <br />Commercial & Multifamily Building Permit Application <br />Updated December 2021 <br /> Page 2 of 18 <br /> LENDER INFORMATION RCW 19.27.095 requires the City to obtain information with regard to lenders. If there are no lenders involved with your project, write “no lenders” on the Name Line below. <br />NAME PHONE <br />ADDRESS (STREET, CITY, STATE, ZIP) EMAIL ADDRESS <br /> ACKNOWLEDGEMENTS & SIGNATURE Read and initial each of the following statements prior to signing this application: <br /> I understand that when a building permit application is taken in over the counter it does not mean <br />the application has been deemed technically complete and sufficient for staff review. <br /> I understand that if I submit incomplete, inaccurate, and/or erroneous information it will take the <br />City longer to process my permits. <br /> I understand and acknowledge that I could be responsible for providing as-built drawings (on paper <br />or electronically) as part of the project’s certificate of occupancy process. <br /> I understand and acknowledge that Special Inspections could be required as part of my project, and <br />if needed I will be required to pay for the cost of these inspections. <br /> I understand and acknowledge that financial securities could be required as part of the work I am <br />completing and I agree to provide the items needed for the City to calculate these securities and to <br />provide the securities themselves. <br /> I understand that if permits are reviewed concurrently such as design review, site plan, traffic <br />concurrency, etc., any required revisions to one permit may affect the entire plan set and could add <br />costs and time to the project. <br /> <br />I hereby declare that I am either the owner of the property listed on this application or the owner of <br />this property has authorized me to be their representative to act for them. I also declare under penalty <br />of perjury under the laws of the State of Washington that all of the statements and answers contained <br />herein, and the information submitted with this application form is in all respects, true, correct, and <br />complete to the best of knowledge and belief. <br /> <br />________________________________________________ ____________________________ <br /> SIGNATURE DATE <br /> <br />_________________________________________________ <br /> PRINTED NAME <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />
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