HomeMy WebLinkAboutPermit File 3907 Rock Ridge Parkway (2) C) ' City of Anacortes Invoice/Permit#: BLD-2018-0730
904 6th Street
Applied date: 11/30/2018
P.O.Box 547 Issue date: 11/30/2018
t r 101 Anacortes, WA 98221-0547
'',41. '' (360) 293-1901 Expire date: 05/28/2020
Job Address: 3907 ROCK RIDGE PKWY Permit Type: Single Family Alteration/Repair Permit
ANACORTES WA 98221-4515 Project:
APN:
Remarks: single panel arbor
Owner: KRISTI VILLINES Contractor: PROSCAPES INC
Address: 3907 ROCK RIDGE PKWY Address: PO BOX 1061
ANACORTES WA 98221-4515 ANACORTES WA 98221-1061
Phone: Phone: (360)293-3221
License#:
General Information: Fees:
Building Valuation 1500 Building Permit Fee 54.00
Plan Review Fee 35.10
State Building Code Fee Resi 6.50
Total Calculated: 95.60
Deposits/Receipts: 0.00
Total Due: 95.60
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITI* 180 DAY ,`bf..IIF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORN'S COMMEjCED„r '
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISION3:'
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, fF.rig'
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER $tATE;1 a._j
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTIONtii, . a. °) I=
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l t, PLANNING, COMMUNITY, & ECONOMIC DEVELOPtA N (�CT�MENT '
RESIDENTIAL BUILDING PERMIT APPLICA 6 rE`
> Mailing Address: P. O. Box 547, Anacortes, WA 98221
Office Location: 904 6h Street, Anacortes WA 98821
Phone: (360) 293-1901
PLEASE REFER TO THE RESIDENTIAL BUILDING PERMIT CHECKLIST BELOW FOR SUBMITTAL REQUIREMENTS
PROJECT AD R 0 treet, S ite #): PARCEL(S) #:
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Subdivision/Lot #: I PROJECTVALUA:j $
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APPLICANT: i Phone: 3(po n , qq
Address (Shcet, o tat Zipp Email Address: r "l ) . RH w
6K41
PROPERTY eV15�' �, Phone:
Address (Street, City, State, Zi Email Addre
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CONTACT PERSON: Kyri'sh V U Phone:
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Address (Street, City, State, Zip): Email Address:
LENDINGAGENCY: Ca„ (_ \ Phone:
Address (Street, City, State, Zip): J Email Address:
CONTRACTOR:* g I Phone: 0 � � � n _
Address (Street, City, SJp[@, -Zip): • I Email Address: . &M
(� �d1 icense #: xp. Date: r.vl„
*All Contractors & Subcontractors must have a valid City of Professional
Anacortes business license prior to doing work in the City. Contact Business License #: Exp. Date:
the City's Finance Department at (360) 299-1968. -
PROPOSED WORK:
PROPOSED NFNN SQUARE l"001-AGE :
Basement SQ' : FO Finished Basement: ❑ Unfinished Basement
I " Floor SQ' : Garage /Carport SQ' :
20d Floor SQ' : Deck/ Covered Porch/ Patio SQ':
Fire Sprinkler: ❑ Yes ❑ No Lot Area SQ':
I declare under penalty of perjury that the information I have provided on this form/application is true, correct, and
complete, and that I am the property owner or duly authorized agent of the property owner to submit a permit
appheation to the City of Ana r es.
Print Name: I \�( e r I
1 (P Owner I IL Agent ❑ (specify):
Signature: Date: Zt S
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