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1T y o PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT <br />��"� Mailing Address: P.O. Box 547, Anacortes, WA 98221 <br />Office Location: 904 V Street, Anacortes WA 98821 <br />Phone: (360) 293-1901 <br />Residential Building Permit Application <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: APPLICATION <br />1. PROPERTY INFORMATION <br />Project Address (Street, Suite #): <br />Assessor Parcel Number: <br />2105 12th st. Anacortes, WA 982 <br />Subdivision/Lot #: <br />Zoning Designation: <br />Lot area (size): <br />sq. ft. <br />2. TYPE OF PROJECT <br />❑ New SFR ❑ New Accessory Dwelling Unit: ❑ Deck/porch (new/repair) <br />❑ New Duplex ❑ Attached to Primary Unit ® Interior remodel <br />X Detached from Primary Unit <br />❑ New Addition to SFR ❑ Garage, carport or accessory building ❑ Retaining wall <br />or duplex (new/repair) <br />❑ Other: <br />Project Summary: <br />Adding additional wall in east out building making a studio apt. <br />Project Valuation: $ 30k <br />3. PROPERTY OWNER INFORMATION <br />Name: Jackie Law <br />Phone: 520-349-4770 <br />Address (Street, City, State, Zip): <br />Email Address: <br />2105 12th. St Anacortes WA <br /> <br />4. CONTRACTOR INFORMATION <br />Name:* <br />Phone: <br />Contractor's Business Licenses <br />State License #: <br />City License #: <br />*All Contractors & Subcontractors must have a valid City <br />Expiration Date: <br />Expiration Date: <br />of Anacortes business license prior to doing work in the <br />City. <br />Address (Street, City, State, Zip): <br />Email Address: <br />Page 1 of 19 <br />Res. Building Permit Application Submittal Checklist <br />Updated March 12, 2021 <br />