HomeMy WebLinkAboutPermit File BLD-2019-0646 2506 16th Street Y 0 City of Anacortes Invoice/Permit#: BLD-2019-0646
904 6th Street Applied date: 10/04/2019
..POBox 547
1 Issue date: 10/04/2019
0_ Anacortes, WA 98221-0547
Expire date: 04/01/2021
Job Address: 2506 16TH ST Permit Type: Reroof Single Family Residence
ANACORTES WA 98221-2056 Project:
APN:
Remarks: Remove current roofin and replace with one layer Class A comp roofing.
Owner: MATT& KISHA CLICK TRUST Contractor: MOUNT BAKER ROOFING
Address: 3816 STERLING PL Address: 3945 HOME RD
ANACORTES WA 98221-1296 BELLINGHAM WA 98226
Phone: (360) 391-6062 Phone: (360) 733-0191
License#:
General Information: Fees:
Occupancy Group it-1 Building Permit Fee 153.25
Building Valuation 7550 State Building Code Fee Resi 6.50
Total Calculated: 159.75
Deposits/Receipts: 0.00
Total Due: 159.75
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS7I OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENeEI.. .I
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PRO''ISION,$
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN ORINOT,:'1HE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VISIONS OF ANY OTHER>STAT5 O:R
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
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SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUE —, , µ
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1.Y r-1 PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
RE-ROOF PERMIT APPLICATION
�94 Mailing Address: P.O. Box 547, Anacortes, WA 98221
0 ' Office Location: 904 6th Street, Anacortes WA 98821
Phone: (360) 293-1901
PLEASE REFER TO THE RE-ROOF PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS
i21 RESIDENTIAL D COMMERCIAL
PROJECT ADDRESS(Street,Suite#): PARCEL(s)#:
2506 16th St P112712
Subdivision/Lot#: PROJECT VALUATION$
7550.00
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.com
PROPERTY OWNER: Phone:
Click Trust
Address(Street,City, State,Zip): Email Address:
CONTACT PERSON: Phone:
Kisha Click 360.391.6062
Address(Street,City, State,Zip): Email Address:
3816 Sterling PI lafferk@comcast.net
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
Contractor's License# Exp.Date:
*All Contractors&subcontractors must have a valid City of 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:Composistion NUMBER OF LAYERS: 1
CLASS OF ROOFING: 21 A ❑ B ❑ C NUMBER OF SQUARES:28
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: Katy Mount Owner ❑ Other ❑ (specify):
Signature: Kay L Date: 10/04/2019
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