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GAT Y 06 PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT <br /> ( RESIDENTIAL BUILDING PERMIT APPLICATION <br /> 7, w�, Mailing Address: P.O. Box 547, Anacortes, WA 98221 <br /> Office Location: 904 6th Street, Anacortes WA 98821 <br /> Phone: (360) 293-1901 <br /> PLEASE REFER TO THE RESIDENTIAL BUILDING PERMIT CHECKLIST BELOW FOR SUBMITTAL REQUIREMENTS <br /> PROJECT ADDRESS (Street, Suite#): PARCEL(S)#: P55432 <br /> 1207 12th St <br /> Subdivision/Lot#: PROJECT VALUATION: $ $7,500 <br /> APPLICANT: Phone: <br /> Investments Unlimited 425-319-0180 <br /> Address(Street, City, State, Zip): Email Address: <br /> 307 S 1st Street, Mount Vernon,WA 982873 beau@apc.team <br /> PROPERTY OWNER: Phone: <br /> Investments Unlimited 425-319-0180 <br /> Address(Street, City, State,Zip): Email Address: <br /> 307 S 1st Street, Mount Vernon,WA 98273 beau@apc.team <br /> CONTACT PERSON: Phone: <br /> Beau Minnick 425-319-0180 <br /> Address(Street,City, State,Zip): Email Address: <br /> 307 S 1st Street, Mount Vernon, WA 98273 beau@apc.team <br /> LENDING AGENCY: Phone: <br /> Address(Street, City, State,Zip): Email Address: <br /> CONTRACTOR:* Phone: <br /> APC CONSTRUCTION 425-319-0180 <br /> Address(Street, City, State, Zip): Email Address: <br /> 307 S 1st Street, Mount Vernon,WA 98273 Beau@APC.team <br /> Professional License#: Exp. Date: <br /> *All Contractors& Subcontractors must have a valid City of <br /> Anacortes business license prior to doing work in the City. Contact Business License#: Exp. Date: <br /> the City's Finance Department at(360) 299-1968. APCCOCL843PQ 10/18/2020 <br /> PROPOSED WORK: Replace siding and windows. <br /> PROPOSED NEW SQUARE FOOTAGE: <br /> Basement SQ': ❑ Finished Basement: ❑ Unfinished Basement <br /> 1st Floor SQ': No "NEW" square footage Garage/Carport SQ': <br /> 2nd Floor SQ': Deck/ Covered Porch/Patio SQ': <br /> Fire Sprinlder: ❑ Yes ❑ No Lot Area SQ': <br /> I declare under penalty of perjury that the information I have provided on this form/application is true, correct, and <br /> complete, and that I am the property owner or duly authorized agent of the property owner to submit a permit <br /> application to the City of Anacortes. <br /> Print Name: u Minnick Owner 0 Agent 0 (specify): <br /> Signature: G Date: 10/23/2018 <br /> Page 1 of 5 <br />