HomeMy WebLinkAboutBLD-2007-0579 - WINDOWS/DOORS/SIDING NEW OR REPLACED 0722604-2 0004 08 14/20u7 002 4
1`rX 0 :, Permit Fees 00571; $ 2
Cityof Anrt Permit BLD-20
07-0579
904 6th Street Issue date: 08/14/2007
P.O. 547 Expire date: 08/13/2008
"� /.'`!/# Anacortes, WA 98221-0547
Job Address: 1019 12TH ST Permit Type: Commercial Repair/Alter Permit
ANACORTES WA 98221-2101 Project:
APN: P55112
Remarks: Replace windows.
Owner: LIGHTHOUSE BAPTIST CHURCH Contractor: NEW CREATIONS
Address: 1019 12TH ST Address: 5105 MACBETH
ANACORTES WA 98221-2101 ANACORTES WA 98221
Phone: (360) 588-8077 Phone: (360)540-2216
License#: NEWCRCB94505
General Information: Fees:
Building Valuation 5000 Building Permit Fee 90.00
State Building Code Fee 4.50
Plan Review Fee 58.50
Total Calculated: 153.00
Deposits/Receipts: 0.00
Total Due: 153.00
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 ANYTIME AFTER WORK IS COMMENCED. I
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 GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER
STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
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4y o� Commercial Building Permit Application
Building Department
'a,,IWI P.O. Box 547 Anacortes, WA 98221
Phone No.: 360-293-1901 FAX: 360.293.1938
SITE ADDRESS: U l - 27 9�r--
CONTRALTO App6cflr%t: " 'PROJEG P DES,CRPTi1V
Nameiv��,P�/2%i�n/S" �L�L��G'g Ghin/%OcUS
Address
City/State/Zip
Phone FAX
State License# Exp
PARCEL NUMBER
City of Anacortes License '
PtIiOPEItTYONER �mlppliaant EGAT pES'CII'TIOl '..
Name�1/��d✓fi�t3 ,�i1�''Tis'T��iut'L'
Address/G/ — / 57�
City/State/Zips/lti11C�f7T� l�l� '�Z% PO',IEGIYV? IJAI�UIN
Phone3 -2llr_cf4lG FAX
E-Mail Address Number of Stories
Building Area:
0=i1`tci d c"tI Q Designer- [A Engineer.'21 Applicartf I"Floor s.f. 2"Floor s.f.
Name Yd Floor s.f. Basement s.f.
Address Lot Area s.f. Construction Type
City/State/Zip Use Zone
Phone FAX Impervious Area
E-mail Address Other(Describe)
TENANTpplfcant T EfihER',,
LENDER INFORMATION MUST BE PROVIDED FOR PROJECTS OVER$5,000
Name IN VALUATION PER RCW.
Address Name
City/State/Zip Address
Phone FAX .City/State/Zip
E-mail Address Phone No.
CONTINUED ON THE BACK