HomeMy WebLinkAboutPermit File BLD-2019-0644 705 34th Street Y C? City of Anacortes Invoice/Permit#: BLD-2019-0644
904 6th Street
" `r"" a_ P.O.Box 547 Applied date: 10/04/2019
Issue date: 10/04/2019
try.` Anacortes, WA 98221-0547
r. Expire date: 04/01/2021
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Job Address: 705 34TH ST Permit Type: Reroof Single Family Residence
ANACORTES WA 98221-3415 Project:
APN:
Remarks: Remove current roofing and replace with one layer Class A comp roofing.
Owner: RENE ALAN JANZEN Contractor: MOUNT BAKER ROOFING
Address: 713 34TH ST Address: 3945 HOME RD
ANACORTES WA 98221-3415 BELLINGHAM WA 98226
Phone: (360) 739-2480 Phone: (360) 733-0191
License#:
General Information: Fees:
Occupancy Group it-1 Building Permit Fee 223.25
Building Valuation 12668 State Building Code Fee Resi 6.50
Total Calculated: 229.75
Deposits/Receipts: 0.00
Total Due: 229.75
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS•-'1OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMME-NekD
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIbN
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR!RIOT, :;IA
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TH ISIONS OF ANY OTHER -IATE----Olgt
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. s• `I j
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SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSU s, 0
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1� p PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
=� RE-ROOF PERMIT APPLICATION
Mailing Address: P.O. Box 547, Anacortes, WA 98221
c t � Office Location: 904 6111 Street,Anacortes WA 98821
Phone: (360) 293-1901
PLEASE REFER TO THE RE-ROOF PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS
12f RESIDENTIAL ❑ COMMERCIAL
PROJECT ADDRESS(Street,Suite#): PARCEL(s)#:
705 34th St P56679
Subdivision/Lot#: PROJECT VALUATION$
12668.00
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:
JANZEN RENE 360-739-2480
Address(Street,City,State,Zip): Email Address:
713 34th St Anacortes Wa 98221 renejanzen@comcast.net
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
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 Gu y'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: I
CLASS OF ROOFING: f21 A ❑ B ❑ C NUMBER OF SQUARES:33
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 Anacovtes.
Print Name: Katy Mount AA Owner 0 Other 0 (specify):
Signature: K L_ f Y e Date: 10/02/2019
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