HomeMy WebLinkAboutPermit File BLD-2018-0648 4220 Osprey Lane ,LT O,
G City of Anacortes Invoice/Permit#: BLD-2018-0648
`} 904 6th Street
Applied date: 10/15/2018
P.O.Box 547 Issue date:
s. 'Cf,. Anacortes, WA 98221-0547 Expire date: 04/12/2020
`o ,t (360) 293-1901
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Job Address: 4220 OSPREY LN Permit Type: Single Family Residence Permit
ANACORTES WA 98221 Project:
APN:
Remarks: Construct new single family residence per approved plans.
Owner: RICHARD JOHNSON Contractor: QUANTUM CONSTRUCTION INC
Address: 2824 WEST LAKE SAMMAMISH PKWY SE Address: 12761 QUANTUM LN
BELLEVUE WA 98008 ANACORTES WA 98221-8364
Phone: Phone: (360)293-0656
License#: QUANTCI166DF
General Information: Fees:
Plan Review Deposit 200.00
State Building Code Fee Resi 6.50
Sewer Inspection Fee 50.00
Storm Drain GFC-Residential 1,597.48
Sewer GFC-Residential 9,482.66
Park Impact Fee 615.00
Traffic Impact Fee 2,641.40
Total Calculated: 14,593.04
Deposits/Receipts: 0.00
Total Due: 14,593.04
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYSa`!OR 11L
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMINCD. '-'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 ORcNOTI_.THE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHEI ;StAT;E OR
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. it -i:`
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SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY r: . `'`