HomeMy WebLinkAboutPermit File 1609 6th Street Gib Y Cps City of Anacortes Permit#: BLD-2008-0060
904 6th Street Issue date: 02/13/2008
` w' P.O.Box 547 Expire date: 04/13/2008
to: Anacortes, WA 98221-0547
(360) 293-1901
Job Address: 1609 6TH ST Permit Type: Demolition Permit
ANACORTES WA 98221-1743 Project:
APN: P55894
Remarks: Demolish single family residence.
Owner: DOUBLE F INC Contractor:
Address: 1120 COMMERCIAL AVE Address:
ANACORTES WA 98221-4124
Phone: (360)840-5965 Phone:
License#:
General Information: Fees:
Total Calculated:
Adjustments:
Deposits/Receipts:
Total Due:
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. 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 OR
NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER
STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
CITY OF ANACORTES
__t_ ;" DEMOLITION PERMIT APPLICATION
Site Address: ( CPO 9 6-41 S-k' 4 J f
Assessors Account No.. P SS 199 Date: \ zS/ o
Le '-Va. 1.2t- '4
Lot(s): I.Ms iSb. Block: )(lo Addition: —
Owners Name: man S Ii✓ Contractors Name: 6 v
Address. ioefo S- 3 841" Pkc-Q-) LE% Address: 9\20 £`++me'vcJ /1s`
State. IVA - Zip. ‘49 P/ State r#lator'ki .1i✓il Zip: c'/t as l
Phone 3t-o rs'-iO -5 i 1 Contractors License: ir,^rn ci! 0 S. et S a--5 ✓t'
Phone. 3 6 o Pc10 • S,4S
Have Utilities Been Notified? Description of proposed demolition How will materials be
L✓.\l 1."� et:of 40 �rti; disposed?
Water Dept.: Yes No `ems 7,e_." S.t --1,-. a.Q ee2Qntc, ztk
Electric: Yes No
Cable: Yes NoC.(ii+�eS
Gas: Yes\NoJ _F- Qes/o& ..nC4
BARRICADES TO BE PROVIDED FOR PUBLIC PROTECTION, AREA MUST BE
ROPED OFF!
Applicant's or Agent's Signature
ASBESTOS WARNING
Breathing asbestos is hazardous to your health. Before starting a renovation or demolition project,
survey for friable asbestos materials. Notify Northwest Air Pollution Authority prior to asbestos
removal or containment 1600 S.2"t treet,t Mt.
Vern 98273 (360) 428-1617.
Fire Department Approval: _�� / Date: a—( 0
t
Police Dept. Approval: Date: a - C - °el'
Public Works Department Approval: 'WwLs n %all k.,-.Date:
Comments: Jil�fflhlbl ihe-2 ((�` `�x-�t�E- lea C' Ui} Eli A-o
�2_`LJ`LVol V'� Ovvi\Jl \.F- .M aOit. C9 Pt>1A von 0A2) t,K*7IASI710A
Address 1469 Act ,fir
Legal Description Jt)k eF AL 5,1 6 . ak /yv @4 (2 Masi—
Assessors Account No . 7772,- RIO - f)06 _000 8-
Permit No . Date Descriptiop Date Finaled
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