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HomeMy WebLinkAboutPermit File BLD-2021-0717 3912 R Avenue (2) A PLANNING , COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT M1 / .Jf U L;� n JW c cD P n 2 J11 0 air aii-i [p li-, u n Lr u e xi a - t Mailing Address : P. O. Box 547, Anacortes, WA 98221 <it . .det,. ;. S? cib -co Office Location : 904 6th Street, Anacortes WA 98821 Phone : (360) 293 - 1901 PLEASE REFER TO THE RE-ROOF PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS IIIKSIID EN'' II k 1T , ❑ CCOI`VI% KRCC1TA 11 , PROJECT: ADDRESS ( Street, Suite #) o 39 ? AV F PAI " C11+1, 114(s) 0 P 58828 Subdivision/Lot # : PROJECT VALUATION $ SEATTLE SYNDICATE TO ANA VAC W' LY 10' RAVE ADJ & 24 TO 26 BLK 8 60 , OOOOO � PPLICCANTo , , Phone :'Kenneth Van Gaasbeck 360 - 708 4065 Address ( Street, City, State , Zip) : GomnercuaEmail Address : o u 1004 ave ken@kcnsan orcgoccern PRO1P1KR7 Y OWNER : � , Phone : a o - Kenneth Van Gaasbeek 360 - 70 ® 4 . 65 Address ( Street, City, State , Zip) : 399' Email Address : Rave (CONTACT PERSON : Phone : Kenneth Van Gaasbeek Address ( Street, City , State , Zip) : Email Address : 3208 K ave anacortes wa 98221 CCONLTRACCYOR : ; Phone : Address ( Street, City, State , Zip) : Email Address Contractor ' s License # Exp . Date : *All Contractors & subcontractors must have a valid City of Anacortes business license prior to doing work in the City. Business License # : Exp . Date : Contact the City 's Finance Department at (360) 2994968. WORK : r1 �� to l PROPOSED Adjust roof line to remove the flat roof portion and reroof with metal roofing 0 T11TYfE OF P OOEING : Metal NUMBER OF ,ANY C R5 : 1 e- • CLASS OF ROOFING : A 3 NUM ER OF SQUARES : Ker0 5 " rocF 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 : Kenneth Van Gaasbeek Owners — Other ❑ (specify) : Signature : Date : 7/22/2021 Page 1 of 2 • • v'•.••Wx•. -- ."Y•r••••.••.r ♦N`- . • .--•_x•. .r.a. rJn wv.Yl, n, r ,• M v ♦ M 32)"/ yxWlw(11VWyV11'MII.i / O ••N•WW`WW--•WMv•'.w•I' 1r,/\.,V.xY•W )wnnxM•fNw..•I•L..FM:YV[•'.OwVJ+NAV•v.�.'.w.M.IN..NYlN eN✓•'.ti+t fYvw'nVI.p M•. .-... rY. . . •• -• •-. ..AfY._ LJ .1 n\ V.w !Y-•Vn-.. .W < H r nM• •a xw 1 MYY+ '•• �•• •• ; <•'V '•<�•h S (� ' ° / { 3 1 E f {jj(lt�� I iEIIiiC •w•lR. " a . 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