HomeMy WebLinkAboutPermit File BLD-2019-0643 4902 Paisley Place Y. Q City of Anacortes Invoice/Permit#: BLD-2019-0643
904 6th Street
Applied date: 10/04/2019
' P.O.Box 547 Issue date: 10/04/2019
Anacortes, WA 98221-0547 Expire date: 04/01/2021
Job Address: 4902 PAISLEY PL Permit Type: Reroof Single Family Residence
ANACORTES WA 98221-3120 Project:
APN: P59899
Remarks: Remove current roofing and replace with one layer Class A Comp roofing.
Owner: LIONE MARK AM Contractor: MOUNT BAKER ROOFING
Address: 4902 PAISLEY PL Address: 3945 HOME RD
ANACORTES WA 98221-3120 BELLINGHAM WA 98226
Phone: Phone: (360) 733-0191
License#:
General Information: Fees:
Occupancy Group it-1 Building Permit Fee 167.25
Building Valuation 8210 State Building Code Fee Resi 6.50
Total Calculated: 173.75
Deposits/Receipts: 0.00
Total Due: 173.75
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DA'S,7OR'II
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMEIJC*D: f:
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVfSItN$;
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, TNT
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE P ISIONS OF ANY OTHER STATE;OI
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
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SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUE
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PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
I RE-ROOF PERMIT APPLICATION
_ Mailing Address: P.O. Box 547, Anacortes, WA 98221
'qCo Office Location: 904 6th Street, Anacortes WA 98821
Phone: (360) 293-1901
EASE TO THE RE-ROOF PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS
RESIDENTIAL ❑ COMMERCIAL
RESIDENTIAL
ADDRESS(Street,Suite#): PARCEL(s)#:
4902 Paisley PI P59899
Subdivision/Lot#: PROJECT VALUATION$
8210.00
APPLICANT: Phone:
Mt Baker Roofing (Katy Mount) 360-733-0191
Address(Street,City,State,Zip): Email Address:
3945 Home Rd, Bellingham WA 98226 katymount@mtbakerroofing.eom
PROPERTY OWNER: Phone:
Mark Lione 360-840-3051
Address(Street, City,State,Zip): Email Address:
4902 Paisley PI marklione@msn.com
CONTACT PERSON: Phone:
Address(Street,City,State,Zip): Email Address:
CONTRACTOR:* Phone:
Mt Baker Roofing, INC 360-733-0191
Address(Street, City,State,Zip): Email Address
3945 Home Rd, Bellingham WA 98226 katymount@mtbakerroofing.com
*All Contractors& subcontractors must have a valid City of Contractor's License# Exp.Date;
MTBAKR1055ML 05/2020
Anacortes business license prior to doing work in the City. Business License#: Exp.Date:
Contact the City's Finance Department at(360)299-1968. 601526326 001 0001 2-29-20
PROPOSED WORK: To remove current roofing and replace with one layer of roofing
TYPE OF ROOFING:Composition NUMBER OF LAYERS:2
CLASS OF ROOFING: O A ❑ B ❑ C NUMBER OF SQUARES:27
I declare under penalty of per jury 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: Katy Mount ,I Owner 0 Other El (specify):
Signature: i � L �V�� Date: 10/02/2019
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