HomeMy WebLinkAboutBLD-2009-008 - RESIDENTIAL REMODEL J9�76�4-1 U882 0J/17/2O�� 002 4
^ �� Permit Fe�s 6325 $18� 83
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Q04GthStreet Issue date:
POBou547� � Expire date:� 09/13/2010
/\n000�oo. VVA Q8221'O547
, (308) 203'1901
Job Address: 1020FAVE Permit Type: Single Family Alteration/Repair Permit
ANACORTE0VVA9V221'1435 Project:
APN: P55135
Remarks: Remove and replace shoeko:k insulated and paint from snow damage.
Owner: NE|LL. HARYEY Contractor: BELL 8 SONS CONSTRUCTION
Address: 063V TURNERS BAY PL Address: 10506PENNRD
ANAC0RTESYV898221'S349 M0UNTVERN0NVVA90273'VD50
Phone: (360)299'9391 Phone: (300)601'0601
License#: B[LL8C^025R2
General Information: Fees:
Building Valuation 15000 State Building Code Fee 4.50
Plan Review Fee 71.03
Building Permit Fee 110.50
Total Calculated: 10083
Deposits/Receipts: 0.00
Total Due:� �
186�� �
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THIS PERMIT BECOMES NULL AND VOID |F WORK 0R CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 100D^YS, OR IF �
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED, | �
HEREBY CERTIFY THAT | HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO os TRUE AND CORRECT. ALL
PRO v V S H|STYPE OFVV0KKvv|LLaECOWPUEDVV|loYvxeTHER SPECIFIED HsnBw0n
NOT 6 GIVE AUTHORITY TDV|V�\TEOR CANCEL THE PROVISIONS OF ANY OTHER
STATEPERFORMANCE OFCONSTRUCTION.
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G�zY 4� Residential Building Permit Application
Building Department
R� 4x P.O. Box 547 Anacortes, WA 98221
Phone No.: 360-293-1901 FAX: 360.293.1938
SITE ADDRESS: Z o SiIZ � p �Yt
CONTRACTOR,,, =fl Apphcaitt: _ Pi2QJECT DES�RIPTxON �:
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E-Mail Address Number of Stories _
Building Area:
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Name 3`d Floor s.f. Basement s.f.
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Address Garage s.f. Carport s.f.
City/State/Zip Deck s.f. Lot Area s.f.
Phone FAX
E-mail Address
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LENDER INFORMATION MUST BE PROVIDED FOR PROJECTS OVER$5000
Name I y��Gf'� � IN VALUATION PERRCW.
Address �—k j��"im`V /6 , l� Name
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