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Home My WebLink AboutPermit File BLD-2020-0446 1707 10th Street 8.' .. City of Anacortes Invoice/Permit #: BLD-2020-0446 904 6th Street Applied date: 07/29/2020 P.O.Box 547 Issue date: 07/29/2020 Anacortes, WA 98221-0547 Expire date: 01/25/2022 1691 Job Address: 1707 10TH ST Permit Type: Reroof Single Family Residence ANACORTES WA 98221-1929 Project: APN: P55966 Remarks: ADD A 2ND LAYER OF CLASS A COMPOSITION ROOFING TO AN EXISTING ROOF, NAILED ON. OWNER: 360-503-8907 Owner: GRIGNON DANIEL T Contractor: OWNER Address: 1707 10TH ST Address: ANACORTES WA 98221-1929 Phone: Phone: License #: General information: Fees: Occupancy Group it-1 Building Permit Fee 44.85 Building Valuation 1200 State Building Code Fee Resi 6.50 Total Calculated: 51 .35 Deposits/Receipts: 0.00 Total Due: 51.35 The issuance or granting of this permit shall not be construed to be a permit for, or approval of, any violation of this Code or any other ordinance or order of the City, of any state or federal law, or of any order, proclamation, guidance advice or decision of the Governor of this State. To the extent the issuance or granting of this permit is interpreted to allow construction activity during any period of time when such construction is prohibited or restricted by any state or federal law, or order, proclamation, guidance advice or decision of the Governor of this State, this permit shall riot authorize vYork and shall not t,e valid. The building official is authorized to prevent occupancy or use of a structure where in violation of this Code, any other city ordinances of this jurisdiction 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 the Governor. The building official is authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect, inaccurate or incomplete 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. 1 have read and examined this application and know the same to be true and correct. SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUE Y ,/ 1411111411117,, 'SMe"1 Finance Department 020279-0031 Erin N. 08/03/2020 01 :24PM PERMITS AND INSPECTIONS GRIGNON DANIEL BLD-2020-0446 Reroof Single Family Residence ADD A 2ND LAYER OF CLASS A COMPOSITION R issued 2020 Item: BLD-2020-0446 Building Permit Fee 44.85 State Building Code Fee Resi 6.50 Payment Id: 289263 51.35 Subtotal 51.35 Total 51.35 03FIN DEBIT NOT FEE 51.35 visa ************3518 Ref=42153850931 Auth.H57558 3518 1 Change due 0.00 Paid by: GRIGNON DANIEL T IHI I III III NI11111311111111111 Signature: Thank you for your payment COPY DUPLICATE RECEIPT i -VCf Q PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT RE-ROOF PERMIT APPLICATION Mailing Address:P.O. Box 547,Anacortes, WA 98221 'col Office Location: 904 6th Street,Anacortes WA 98821 Phone: (360) 293-.1901 PLEASE REFER TO THE RE-ROOF PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS ❑ RESIDENTIAL 0 COMMERCIAL PROJECT ADDRESS(Stie Stike#1 07ST PARCEL(s)#: : Oth Subdivision/Lot#: PROJECT VU '�IQN$ APPLICANT: Phone: ��((�� Daniel Grignon Address(Street,City, State,Zipj: E ail lest Car t- tg' rignon ii.CC PROPE TX/OWNER:ans Grignon 1'hone3605038 907 g T Address(Street, City,S ate,Zip): Email Address: CONTACT PERSON: Phone: same Address(Street,City,State,Zip): Email Address: CONTRACTOR:* WA Phone: JAddress(Street,City,State,Zip): Email Address *All Contractors&subcontractors must have a valid City of Contractor's License# Exp.Date: Anacortes business license prior to doing work in the City. Business licsnse#: xp.Date: Contact the City's {•r Finance Department at(360)299-196$�o p o S i t S 0„ i n PROPOSED WORK: 2 n layer , 1 nailed on TYPE OF ROOFING:architectual NUMBER OF LAYERS: existing CLASS OF ROOFING: ® A ❑ B C OF NUMBER SQUARES': ❑ Q 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: Daniel Grignon Owner C'7 Other ❑ specify : Signature: Date: 1 AUG 20 Page 1 of 2