HomeMy WebLinkAboutBLD-2004-0084 - RE-ROOF COMMERCIAL (2) 0428504-1 0002 10/11;2004 002 4
Permit Fees 004922 $184.50
City of Anacortes Permit#: BLD-2004-0084
904 6th Street Issue date: 10/11/2004
s $_ P.O.Box 547 Expire date: 10/11/2005
ia�Cl�a Anacortes, WA 98221-0547
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Job Address: loll 12TH ST Permit Type: Reroof Commercial Permit
ANACORTES WA 98221 Project:
APN: P55111
Remarks: Tear off, resheat and torch down application cap metal.
Owner: RICK RENNEBOHM Contractor: QUALITY NORTHWEST ROOFING
Address: 582 SCENIC HEIGHTS RD Address: 514 WEST FT. NUGENT
OAK HARBOR WA 98277 OAK HARBOR WA 98277
Phone: (360)293-8361 Phone:
License#: qualin066oj
General Information: Fees:
Building Valuation 12500 Building Permit Fee 180.00
State Building Code Fee 4.50
Total Calculated: 184.50
Deposits/Receipts: 0.00
Total Due: 184.50
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. 1
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL
PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR
NOT, THE NTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER
STATE LOC L LAW REGULA ING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. tom_
SIGNATURE OF OWNER OR AUTHOR ED AGENT ISSUED BY