HomeMy WebLinkAboutPermit File 1816 37th Street 1018103-1 0004 06/30/2010 001 9
Permit Fees 008744 $137.33
1`r O City of Anacortes Permit#: BLD-2010-0255
`1 904 6th Street Issue date: 06/30/2010
Sl' P.O.Box 547 Expire date: 12/27/2011
;' '0).iz Anacortes, WA 98221-0547
4' eCk wx (360) 293-1901
Job Address: 1816 37TH ST Permit Type: Single Family Alteration/Repair Permit
ANACORTES WA 98221-3379 Project:
APN: P32229
Remarks: Re-side, re-roof and install new windows in residence
Owner: DANA ZACHER Contractor:
Address: 1816 37TH ST Address:
ANACORTES WA 98221-3379
Phone: (360)840-7882 Phone:
License#:
General Information: Fees:
Building Valuation 9500 Building Permit Fee 80.50
Plan Review Fee 52.33
State Building Code Fee 4.50
Total Calculated: 137.33
Deposits/Receipts: 0.00
. Total Due. 137.33 I
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 OCAL LAW RE TING
�CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION
SIG ATURE OWNER OR AUTHORIZED AGENT ISSUED "BY
o�� o� Residential Building Permit Application
,04E Building Department
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P.O. Box 547 Anacortes, WA 98221
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Phone No.: 360-293-1901 FAX: 360.293.1938
SITE ADDRESS: / $/( g 7 'cc- /7tN$, tc/C Fk'Z Z I
CONTRACTOR' JRAppiicant PROJECT DESCRIPTION
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Name G(4{4-w( 6I''r �`-,-t,,A, A`P - 4bU re
Address 9-yd/ / v/y 5- ,'^ f
LJ ( ../G ✓ -,
City/State/Zip /N/-, IA) cc FY l- 2-(
Phone ? 0 1YO }$tLFAX
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State License#Cijt{fH-/J C 3 03�1i' p
/ PARCEL'NUMBER �,y"
City of Anacortes License �-/�
PROPERTY OWNER : / D Applicant"" LEGAL DESCRIPTION
Name U/TIIV 4 2a c!� e,-
Address /8/a 3 7 y. /~ OA
City/State/zip /Zti/l < <.r/t l ir1 `-( PROJEC/VALUATION
Phone 76O 3!0 ;lit I FAX r/5 -0 U
Number of Dwelling Units
E-Mail Address Number of Stories
Building Area:
D Architect D Designer 0 Engineer 0 Applicint Is`Floor s.f 2nd Floor s.f
Name 3rd Floor s.f. Basement s.f.
Address Garage s.f. Carport s.f.
City/State/Zip Deck s.f. Lot Area s.f.
Phone FAX "
E-mail Address
CONTACT r Applicant LENDER'
LENDER INFORMATION MUST BE PROVIDED FOR PROJECTS OVER$5,000
Name IN VALUATION PER RCW. I
Address -Name
City/State/Zip Address •
Phone FAX City/State/Zip
E-mail Address Phone No.
CONTINUED ON THE BACK
Residential Mechanical Fixtures
Fuel Type
❑ Natural Gas 0 Electric 0 Wood 0 Propane Gas 0 Other
Type of Equipment Number of Type of Equipment Number of
Fixtures Fixtures
Furnace<=100K BTU Clothes Dryer
Boilers/AC/Heat Pump Gas Water Heater
Gas Outlets Gas Fireplace
Ventilation Fans Fireplace Insert
Stove,Appliance Other Units
Range Hood
Residential Plumbing Fixtures
Type of Fixture Number of Type of Fixture Number of
Fixtures Fixtures
Toilet Clothes Washer
Bathtub Electric Water Heater
Shower Utility Sink
Dishwasher Hose Bibb
Hand Sink Water Piping
Kitchen Sink w/Disposal Additional Fixtures
I HEREBY ACKNOWLEDGE IF HAVE READ THIS PERMIT APPLICANT AND STATE THE INFORMATION IS CORRECT,AND AGREE TO COMPLYI,
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING ACITIVIES COVERED BY THIS PERMIT APPLICATION. WITH THIS PERMIT ALL
CONTRACTORS AND SUBCONTRACTORS SHALL HAVE A CURRENT WASHINGTON STATE CONTRACTORS LICENSE AND A CITY BUSINESS
LICENSE. STOP WORK ORDERS WILL BE ISSUED ON JOB SITES WHERE CONTRACTORS/SUBCONTRACTORS ARE WORKING WITHOUT
PROPER LICENSE.
APPLICANT'S SIGNATURE DATE
III
Last Updated 11-29-05