HomeMy WebLinkAboutPermit File 4501 Queen Ann Way (2) O ' Cit% y of Anacortes invoice/Permit#: BLD-2016-1454
904 6th Street+ Applied date: 08/01/2016
. , P.O.Box 547 Issue date: 08/01/2016
rye" U�r' Anacortes, WA 98221-0547
T+ Expire date: 01/28/2018
Job Address: 4501 QUEEN ANN WAY Permit Type: Reroof Single Family Residence
ANACORTES WA 98221-3225 Project:
APN: P59243
Remarks: Residential reroof
Owner: LAPRADE DAVID G Contractor:
Address: 6119 PARKSIDE DR Address:
ANACORTES WA 98221-4007
Phone: Phone:
License#:
General Information: Fees:
Building Valuation 4000 Building Permit Fee 97.25
State Building Code Fee 4.50
Total Calculated: 101.75
Deposits/Receipts: 0.00
Total Due: 101.75
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DbSYS, C)t`2r.4F
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMN`ENCE1. :_'I
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL P OVISIONS
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OfVNOT TOE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHEF;STATF(AR
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
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SIGNATURE OF OWNER OR THORIZED AGENT ISSUED BY I_n
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