HomeMy WebLinkAboutPermit File BLD-2019-0586 2220 23rd Street ` •.I
C.� '' City of Anacortes Invoice/Permit#: BLD-2019-0586
904 6th Street
P.O.Box 547 Applied date: 09/05/2019
Issue date: 09/05/2019
t '"._ 0; Anacortes, WA 98221-0547 Expire date: 03/03/2021
Job Address: 2220 23RD ST Permit Type: Reroof Single Family Residence
ANACORTES WA 98221-2437 Project:
APN: P108002
Remarks: Install one layer of composition roofing over one existing layer. Owner is using some bundles of shingles purchased at a
low price, so building cost is low($1200) per owner.
Owner: EUGENE FERRARIO Contractor:
Address: 14410 WOODLAND AVE Address:
ANACORTES WA 98221-8758
Phone: (360) 661-9469 Phone:
License#:
General Information: Fees:
Occupancy Group it-1 Building Permit Fee 44.85
Building Valuation 1200 State Building Code Fee Resi 6.50
Total Calculated: 51.35
Deposits/Receipts: 0.00
Total Due: 51.35
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAIY •,
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED:::,t F ;
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIOt+]S 7!:
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETH SPECIFIED HEREIN OR NQT, 4.-1E1)
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TH ROVI$IONS OF ANY OTHER STATE i II
LOC,QL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ) L. •�' '=�'
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SIGNAT E OF OWNER OR AUTHORIZED AGENT ISSUED -
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PLANNING, COI��, &ECONOMIC DEVELOPMENT DEPARTMENT
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`` . ,. RE-ROOF PERMIT APPLICATION
`~ Mailing Address: P.O. Box 547, Anacortes, WA 98221
',7;? r4 Office Location: 904 6th Street, Anacortes WA 98821
Phone: (360) 293-1901, Fax: (360) 293-1938
PLEASE REFER TO THE RE-ROOF PERMIT CHECKLIST FOR SUBMITTAL REQUIRENEENTS
RESIDENTIAL . ❑ COMMERCIAL
P Z:I�;CT DRE�CS�,SuateL�#)� � PARCEL(s)#:
Subdivision/Lot#: 3PROJECT VALUATION$
//CO' /2 6' c)
APPLICANT: Phone:
6v eiv6 /-�tiO 3Ce0 - 426/- 9y69'
Address(Street,Ci , State,Zip): E-Mail Ad ess:
Ng/000 09-N/� /-vg. i2 p rrar, o ei 9ma, 1. COAA
PROPERTY OWNER: Phone:
Address(Street, City,State,Zip): E-Mail Address:
CONTACT PERSON: Phone: 5.a.vvt..)2—
�j- YhR
Address(Street,City,State,Zip): E-Mail Address: Nam_
5cvy►ve— 5
CONTRACTOR:* Phone: N/4
N J
Address(Street,City„ e,Zip): E-Mail Address A//A
Contractor'sLicense# Exp.Date:
*All Contractors& subcontractors must have a valid City of
Anacortes business license prior to doing work in the City. Business ens#: Exp.Date:
Contact the City's Finance Department at(360)299-1968.
PROPOSED WORK: /'`06,11/4 ;-
TYPE OF ROOFING: CO/i4,04v 5/ /7U,V NUMBER OF LAYERS: # .. (61,1_ 0/ ,0 �
CLASS OF ROOFING:A A ❑ B 0 C NUMBER OF SQUARES: /'7 4.
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: `!�-� /� / _ Owner Other ❑ (specify):
Signature: Date: 9-- 3 --20/9
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