HomeMy WebLinkAboutPermit File BLD-2019-0266 1611 Latitude Circle City of Anacortes Invoice/Permit#: BLD-2019-0266
904 6th Street
Applied date: 04/26/2019
P.O.Box 547
Issue date: 04/26/2019
tq ;0:: Anacortes, WA 98221-0547 Expire date: 10/22/2020
Job Address: 1611 LATITUDE CIR Permit Type: Irrigation Permit
ANACORTES WA 98221 Project:
APN:
Remarks: Install new irrigation system with 1"backflow preventer
Owner: LANDED GENTRY Contractor: SALAZAR'S ALL SEASONS LDSN LLC
Address: 504 E FAIRHAVEN AVE Address: 1121 WEST DIVISION ST
BURLINGTON WA 98233-1846 MOUNT VERNON WA 98273
Phone: (360)755-9021 Phone: (360) 661-1471
License#: SALAZAS91304
General Information: Fees:
#of Backflow Devices 1 Plumbing Permit Fee 27.00
Building Without a Permit 27.00
Total Calculated: 54.00
Deposits/Receipts: 0.00
Total Due: 54.00
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN =r1`i80 DAY , j J FT
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WOR OMMEIeP:�: Irr
HEREBY CERTIFY T ,T I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORIR ALL PROVIQONS-�
OF LAWS AND OR NANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR rt i Tt13E iV
GRANTING OF A P I DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIO OTHER SLIATE Rb'
LOCAL LAW RE T CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. r' 'i'co
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SIGNATURE OF 0 R OR AUTHORIZED AGENT ISSUED BY
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\ _' 0 PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
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J , ,-& MECHANICAL PERMIT APPLICATION
:.� c aaltiif Address:P.O. Box 547, Anacortes, WA 98221
` o Of..Location:904 6th Street,Anacortes WA 98821
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Phone: (360) 293-1901
PLEASE REFER TO afft#11Alitat6Ft4t6pNICAL PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS
ROJECT AblIDRESS(Street,Spite#): PARCEL(S)#: PROTECT VALUATION:
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Subdivision/Lot#4 a�,
V RESIDENTIAL CO1VIl0IERCIAL ❑
APPLICANT: Phone:
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Address(Street, City, State,Zip): Email Address:
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PROPERTY OWNER: Phone:
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Address(Street, City,State,Zip): Email Address:
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CONTACT PERSON: Phone:
Address(Street,City,State,Zip): Email Address:
CONTRACTOR:* Phone:
SCOO,Itkik 5 Nk 3660A
Address(Street,City,State,Zip):. Email Address:
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*All Contractors&subcontractors must have a valid City of Professional License#: Exp.Date:
Anacortes business license prior to doing work in the City. Business License#: Exp.Date:
Contact the City's Finance Department at(360)299-1968. Z q/30 a —aD ZZ
Is this work,associated with another project? Yes ❑ No,O-If yes,specify:
PROPOSED WORK:
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I declare under penalty of perjury that the information I have provided on this form/application is true,correct, and
complete,and that I am the property owner or duly authorized agent of the property owner to submit a permit
application to the/City of Anacortes.
Print Name: 1�t Y/ 747 -C4 4 20' Owner 0 Agent ❑ (specify):
Signature: i,1 ''' Date: 4-p?/ ,5 t