HomeMy WebLinkAboutPermit File BLD-2020-0331 4020 R Avenue Cityof Anacortes BLD-2020-0331
Invoice/Permit #: BLD2020
904 6th Street Applied date: 06/12/2020
`4" P.O.Sox 547
Anacortes, WA 98221-u547 Ise-vie sate: OC/'I?/?0?0
1$ 1 rr Expire date: 12/09/2021
Job Address: 4020 R AVE Permit Type: Reroof Single Family Residence
ANACORTES WA 98221-3642 Project:
APN: P57990
Remarks: Remove current roofing and replace with one new layer.
Owner: SNYDER DONALD F Contractor: MT BAKER ROOFING
Address: 4020 R AVE Address: 3950 HOME RD
ANACORTES WA 98221-3642 BELLINGHAM WA 98226-9147
Phone: Phone: (360) 733-0191
License #: MTBAKRI055ML
General Information: Fees:
Building Valuation 8737 Building Permit Fee 167.25
State Building Code Fee Resi 6.50
Total Calculated: 173.75
Deposits/Receipts: 0.00
Total Due: 173.75
Permits and Insp... - BLD-2020-0331 - 2020
-D9A5Noel iarri r 4l ingrtfiltlipAr njbwiok of be construed to be a permit for, or approval of, any violation of this Code or any other ordinance or order of
the City, o a e or federal law, or of any order, proclamation, guidance advice or decision of the Governor of this State. To the extent the issuance or
6 nnrfig •WK IhNftWeted to allow construction activity during any period of time when such construction is prohibited or restricted by any state or
%liBrai0116.068bkier9q*OttainatiorAillithidaiithoarivice or decision of the Governor of this State, this permit shall not authorize such work and shall not be
rlignateA14151.0g official is ap oo ed to prevent occupancy or use of a structure where in violation of this Code, any other City ordinances of this
1-u�n tction or any other ordinance or executive order of the City, or of any state or federal law, or of any order, proclamation, guidance advice or decision of
th'd tl668FRbk itbuilding offic-47is authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect,
ibtiectiffat@lot5Eleomplete information, or in violation of any City ordinance, regulation or order, state or federal law, or any order, proclamation, guidance or
decision of the Governor. This permit becomes null and void if work or construction authorized is not commenced within 180 days or if construction work is
suspended or abandoned for a period of 180 days at any time after work is commenced. I have read and examined this application and know the same to
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
.,i -V4(1 1 2- % 1"--0. 10
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CAy'S Y O 'LA ING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
I RE-ROOF PERMIT A C; UCATIVIN
_ Mailing Address:P.O. Box 547, Anacortes, WA 98221
9 p Office Location: 904 6th Street, Anacortes WA 98821 ,,
4.`" Phone: (360) 293-1901
PLEASE REFER TO THE RE-ROOF PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS
Ld RESIDENTIAL ❑ COMMERCIAL
PROJECT ADDRESS(Street,Suite#): PARCEL(s)#:
4020 R Ave P57990
Subdivision/Lot#: PROJECT VALUATION$
$8737
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:
Donald Snyder 360.293.7782
Address(Street,City,State,Zip): Email Address:
Same ryeley2@comcast.net
CONTACT PERSON: Phone:
Donald Snyder 360.293.7782
Address(Street, City,State,Zip): Email Address:
Same Same
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: I
CLASS OF ROOFING: 0 A ❑ B ❑ C i 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 Anacortes.
Print Name: Katy Mount Owner ❑ Other ❑ (specify):
Signature: Katy L A C'I (U Date: 5/29/20
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