HomeMy WebLinkAboutPermit File 1320 12th Street 1`r t7 . City of Anacortes Permit#: BLD-2004-0039
'‘, 904 6th Street Issue date: 09/27/2004
`" P.O.Box 547
< " 10, ,Anacortes, WA 98221-0547 Expire date: 09/27/2005
Job Address: 1320 12TH ST Permit Type: Reroof Single Family Residence
ANACORTES WA 98221 Project:
APN: P55589
Remarks: Remove existing roofing, apply new roofing over felt over solid sheathing
Owner: FAULKNER D L Contractor: CUSTOM CONCEPTS ROOFING/CONSTR
Address: 1320 12TH ST Address: 32810 S SKAGIT HWY
ANACORTES WA 98221 SEDRO-WOOLLEY WA 98284
Phone: (360)293-8552 Phone: (360)826-5212
License#: CUSTOCR963OS
General Information: Fees:
Occupancy Group it-1 State Building Code Fee 4.50
Building Valuation 3000 Building Permit Fee 38.50
Total Calculated: 43.00
Deposits/Receipts: 0.00
Total Due: 43.00
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR le
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED " �;
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 r'
STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
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SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED'e
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Permit No. Date Description Date Finaled
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