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PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT <br /> Mailing Address: P.O. Box 547, Anacortes, WA 98221 <br /> c�oR Office Location: 904 61h Street, Anacortes WA 98821 <br /> Phone: (360) 293-1901 <br /> RESIDENTIAL BUILDING PERMIT APPLICATION <br /> THIS APPLICATION PACKET IS USED FOR THE FOLLOWING PROJECT TYPES: <br /> Single-Family Residences (SFR), Duplexes, Additions & Remodels, Accessory Structures (i.e. garages, <br /> carports), Accessory Dwelling Units, Manufactured Homes, Residential Decks & Retaining Walls, and <br /> Docks& Pilings. <br /> FORM BP-1: RESIDENTIAL BUILDING PERMIT APPLICATION <br /> PROPERTY INFORMATION <br /> PROJECT ADDRESS(STREET,SUITE#) ASSESSOR PARCEL NUMBER <br /> 1211 10th Street P55411 <br /> SUBDIVISION/LOT# ZONING LOT AREA(SIZE) 6,000 <br /> Lots 5/6, Block 78 OT SQ. FT. <br /> TYPE OF PROJECT <br /> NEW X ADDITION REPAIR REMODEL CHANGE OF USE <br /> SFR Lj Duplex ❑Deck/Porch <br /> X Accessory Dwelling Unit: ❑Detached ❑X Attached ❑Retaining Wall <br /> ❑ Manufactured Home ❑Accessory Structure <br /> ❑ Shoreline Structure(dock, pilings,floats etc.) * ❑Other: <br /> *If application is for a shoreline structure, please complete the Shoreline Structure Checklist. <br /> IS THIS WORK ASSOCIATED WITH ANOTHER PROJECT? I YES ✓ NO <br /> f YES, provide the permit/application number: <br /> PROJECT SUMMARY: PROJECT VALUATION <br /> Infill existing 492 sf car port into attached ADU. (Cost of Materials & Labor) <br /> $75,000 <br /> PROPERTY OWNER INFORMATION <br /> NAME PHONE <br /> Brom and Anne Wikstrom <br /> ADDRESS(STREET,CITY,STATE,ZIP) EMAILADDRESS <br /> 2715 W Lynn Place, Seattle, WA 98119 miele444@comcast.net <br /> CONTRACTOR INFORMATION <br /> NAME* PHONE <br /> Quantum Construction 360-293-0656 <br /> CONTRACTOR'S BUSINESS LICENSES STATE LICENSE# EXPIRATION <br /> *All Contractors&Subcontractors must have a valid City QUANTCI 166DF <br /> of Anacortes business license prior to doing work in the UBI# EXPIRATION <br /> City. <br /> ADDRESS(STREET,CITY,STATE,ZIP) EMAILADDRESS <br /> 12761 Quantum Ln, Anacortes, WA 982 markb@quantumci.com <br /> Page 1 of 17 <br /> Res.Building Permit Application Submittal Checklist <br /> Updated April 20,2021 <br />