HomeMy WebLinkAboutBLD-2003-8738 - RE-ROOF RESIDENTIAL '�` y..0�:, City of Anacortes Permit#: BLD-2003-8738
904 6th Street Issue date: 06/11/2003
P.O.Box 547 Expire date: 06/10/2004
,1'0 /U Anacortes, WA 98221-0547
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Job Address: 1016 23RD ST
ANACORTES WA 98221
APN: P57197
Permit Type: Reroof Single Family Residence
Project:
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Remarks: Apply 2nd layer of composition roofing on single family residence.
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Applicant: JEVONS CECIL F SR Owner: JEVONS CECIL F SR
Address: Address:
Phone: Phone:
Contractor:
Addressr:
Phone:
License#:
General Information: Fees:
Building Valuation 2000 Building Permit Fee 32.50
State Building Code Fee 4.50
Total Calculated: 37.00
Deposits/Receipts: 0.00
t ] _ Total Due: 37.00
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T THIS APPLICATION IS RECEIVED BY THE BUILDING OFFICIAL UNDER THE PROVISIONS OF THE UNIFORM BUILDING CODE, AND SHALL
EXPIRE BY LIMITATION AND BECOME NULL AND VOID IF PERMIT IS NOT OBTAINED WITHIN 180 DAYS OF THIS APPLICATION. BY AFFIXING
MY SIGNATURE I HEREBY CERTIFY THAT I AM THE LEGAL 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.
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Applicant Signature Issue y
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