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PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT <br />Mailing Address: P.O. Box 547, Anacortes, WA 98221 <br />Y Office Location: 904 6th Street, Anacortes WA 98821 <br />�-4 Phone: (360) 293-1901 <br />Residential Building Permit <br />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 retainine walls <br />FORM ;'-1: RESIDENTIAL BuILDING PERMIT APPLICATION <br />1. PROPERTY INFORMATION <br />Project Address (Street, Suite #): <br />Assessor Parcel Number: 19152 <br />5022 Lake Erie way <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 />New Addition to SFR ❑ Gar❑ag a D, ceatrapcohretd o frr oacmc ePsrsiomrayr byu Uilndiitng ❑ <br />Retaining wall <br />El <br />or duplex (new/repair) ❑ <br />Other: <br />Project Summary: finish off the basement. I will Not be adding any structural walls. I will be furring , <br />out wall to add insulation and electrical plus pluming. I will be adding ecowarm radiant boards to the <br />walls and or ceiling. <br />Project Valuation: $ 20,000 <br />3. PROPERTY OWNER INFORMATION , <br />Name: Glenn Dalgliesh <br />Phone:206.715.3039 Cell <br />Address (Street, City, State, Zip):5022 Lake Erie <br />Email <br />way Anacortes WA 98221 <br />4. CONTRACTOR INFORMATION <br />Name:* no contractors (self -build) <br />Phone: <br />♦. <br />