HomeMy WebLinkAboutApplication 1971 - RE-ROOF COMMERCIAL APPLICATION FOR BUILDING PERMIT
CITY OF ANACORTES
Date
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Owner's Name
Owner's Address `, — � � �. E .= Phone No.
Applicant's Name
Applicant's Address �>'tir�,�ry Phone No.
Property Address
Legal Description of Property
Description of "p proposed improvement d`� ,� ��e•�-�'� �-zt.-^s. -'Vt.s.�
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Improved property to be used as follows
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Value of proposed improvement
PLOT PLAN
Instructions: Draw a sketch of the property on the reverse side of this page
or submit plot plan showing the following information:
1. Streets and alleys abutting property.
2. North point.
3. Size and shape of property.
4. Size of existing building or improvements.
5. Size of proposed buildings or improvements.
6. Distance of all structures from all property lines.
Applicant's or agent's signature
Sign only after reading attached
building permit requirements.
DATE: \,
�...� PERMIT NO:
CITY OF ANACORTES
BUILDING PERMIT APPLICATION
SITE ADDRESS: 3022 Oakes Avenue; Anacortes
ASSESSOR'S NUMBER: Harbor Lease No. 22-002606
LOTS BLOCK - OF
awnrlr LErm R oAiT1 T '.
NAME: NAME: NAME:
Anton Lovric owner
MAILING ADDRESS: MAILING ADDRESS: MAILING ADDRESS:
3022 Oakes Avenue
CITY: STATE: ZIP: CITY: STATE: ZIP: CITY: STATE: ZIP:
Anacortes, WA 98221
PHONE: 293-2042 - PHONE: - PHONE: LIC NO#:
CONTACT PERSON: Florence LovricpHONE: 293-2042 FAX: 293-2042
CSCURANT
RESIDENTIAL NON-RESIDENTIAL OTHER
S_'HGLE FAMILY: RETAIL: STORAGE:
MULTI-FAMILY: OFFICE: - ASSEMBLY:
APARTMENT: RESTAURANT: ACCESSORY: III
CONDOMINUM: BANK: AUTOMOTIVE REPAIR:
SENIOR HOUSING: MANUFACTURING: OTHER(SPECIFY.) : pier
OTHER(SPECIFY) : OTHER(SPECIFY) : _,Do cie_
AESeRIPTZGN UE WCJRIC
:.. .: ...o...... ..../ ..:. ...... ... >:.. ..:
BUILDING: // REPAIR: SHORELINE /WETLANDS Y N
PLUMBING: GRADING & FILL: WATER ON / ADJ TO PROP Y N
MECHANICAL: DEMOLITION: SOILS REPORT Y N
SPA/HOT TUB: OTHER: SENSITIVE AREA Y N
POOL:
LATECOMMERS AGREEMENT Y N
NEW CONSTRUCTION: FIRE HYDRANT<(250 FT) Y N
ADDITION: VARIANCE Y N '
ALTERATION:
COVENANT Y N
DESCRIBE WORK: Drive pilingsto form dolpins to tie up float--construct
pier
GENE RAI: INF.ZlRMATTOIT
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STREET SETBACK:. " FT LOT AREA: SF CARPORT AREA: SF
1ST SIDE SETBACK: FT NO. OF DWELLINGS: GARAGE AREA: SF
2ND SIDE SETBACK: FT LOT COVERAGE: SF NO. OF STORIES: SF
REAR SETBACK: FT 1ST FLOOR AREA: SF DECK AREA: SF
USE ZONE.: 2ND FLOOR AREA: SF MISC. : SF
OCC. GROUP: 3RD FLOOT AREA: SF '..
TYPE OF CONST: BASEMENT AREA: SF
PROJECT VALUATION(LABOR AND MATERIALS COST) : $60, 000. 00
NOTICE
THIS APPLICATION IS RECEIVED BY THE BUILDING OFFICIAL UNDER THE PROVISIONS OF THE UNIFORM BUILDING CODE
SHALL EXPIRE BY LIMITATION AND BECOME NULL AND VOID IF PERMIT IS NOT OBTAINED WITHIN 180 DAYS OF THIS '
APPLIC
ATION. BY AFFIXING MY SIGNATURE I HERBY CERTIFY THAT I AM THE LEGeT. OWNER OF THE PROPERTY FOR WHICH
THIS APPLICATION IS ISSUED OR AN AUTHORIZED AGENT OF THE OWNER. ALL PROVISIONS OF LAWS AND ORDINANCES
GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, INCLUDING CALLS FOR
INSPECTIONS.
S I GNATURE : u �'y2. - DATE:
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