HomeMy WebLinkAboutPermit File 4217 Saint Mary's Drive (2) G1 Y. 041/4' City of Anacortes Invoice/Permit#: BLD-2017-0142
904 6th Street Applied date: 03/20/2017
""" P.O.Box 547 Issue date: 03/20/2017
rye' 01 Anacortes, WA 98221-0547
Expire date: 09/16/2018
Job Address: 4217 SAINT MARYS DR Permit Type: Reroof Single Family Residence
ANACORTES WA 98221-3669 Project:
APN: P79402
Remarks: Reroof residence
Owner: BRAVATO ROBERT L Contractor:
Address: 4217 SAINT MARYS DR Address:
ANACORTES WA 98221-3669
Phone: Phone:
License#:
General Information: Fees:
Building Valuation 7672 Building Permit Fee 153.25
State Building Code Fee 4.50
Total Calculated: 157.75
Deposits/Receipts: 0.00
Total Due: 157.75
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIFI1180 DA' S, 01" fF'
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK f,9 COMMeNCE .- I4
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PIIOVISIdIVS
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR4tIOT,i7H0
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIO S OF ANY OTHER2STATE O�j'
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. l\ / �'• 45-
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SIGNATURE OF OWNER OR AUTH RIZED AGENT ISSUED B (.n
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APPLICATION FOR BUILDING PERMIT
CITY OF ANACORTES
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Owner's Name ai# a4/40 ('u$70n, ,'pO rn Ss$.
Owner's Address4J22 tetuCK.Fe Ph;,rr�G:J . '2sg+ / IO t
Applicant's Name 5s ,00..(. •
_Appltcant's Address / D. f
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Property Addressgot.__ .,.. .- u ,
Legal ,Description of Property tor 9 PLR,- __Q €__N-__LSA1�W D5
Description of proposed improvement Qd _�,�; • _- .
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Improved property to be used as follows S -_ -__ - --
Value of proposed improvement $ 33 . 7is0 Q _ _�i
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PLOT PLAN
Instructions: Draw a 'sketch of the property on the reverse sid.: Jf this page
or submit plot plan showing the following information:
1. Streets and alleys abutting property.
2. North point.
3. Size and shape of property.
4. Size of existing building or improvements.
5. Size of .proposed buildings or improvements.
6. Distance of .all-structures from all property lints.
• App ican,s .r agent's signature
Sign on after reading attached
building permit requirements.
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