HomeMy WebLinkAboutPermit File BLD-2022-0187 2119 16th Street 1 0 -`4 City of Anacortes Invoice/Permit#: BLD-2022-0187
r • 904 6th Street Applied date: 03/18/2022
P.O.Box 547
+r A �- Issue date: 03/18/2022
T;- Anacortes, WA 98221-0547
Expire date: 09/14/2023
Job Address: 2119 16TH ST Permit Type: Fence Permit
ANACORTES WA 98221-2049 Project:
APN: P56179
Remarks: Install a chain link fence along portions of west side of home.
Owner: JOSE&DIANA RODRIGUEZ&DIAZ Contractor: OWNER
Address: 2119 16TH ST Address:
ANACORTES WA 98221-2049
Phone: (360)540-2223 Phone:
License#:
General Information: Fees:
fence permit 15.00
Total Calculated: 15.00
Deposits/Receipts: 0.00
Total Due: 15.00
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 not authorize such work and shall not be
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. I have read and examined this application and know the same to
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
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.,S y o PLANNING,COMMUNITY,&ECONOMIC DEVELOPMENT DEPARTMENT
11 j '{ Mailing Address:P.O.Box 547,Anacortes,WA 98221
`r Office Location:904 6th Street,Anacortes WA 98821
i r4"7 wy Phone:(360)293-1901
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FENCE PERMIT APPLICATION
il Please complete all applicable information and submit to buildin rmit
l;pe @citYofanacortes.org
PROPERTY INFORMATION
PROJECT ADDRESS ASSESSOR PARCEL NUMBER:
UBDIVISION/LLOrq '1 �{tII�tS ui 4R?_Z ZONING ESI NATION:
FENCE INFORMATION-See attached information sheet
• _ LOT TYPE HEIGHT MATERIAL
., ❑ Corner Front: ❑ Wood
r, ❑ Interior Side: Chain Link'
13 Through Side: ❑ Other:
1
Rear: "See AMC 19.66.070 for areas where
chain link is prohibited)
PROPERTY OWNER INFORMATION
NAME PHONE
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ADDRESS EMAIL
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CONTRACTOR INFORMATION
NAME* PHONE
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STATE LICENSE U EXPIRATION
CONTRACTOR'S BUSINESS LICENSES
'All Contractors & Subcontractors must have a valid
City of Anacortes business license prior to doing work CITY LICENSE# EXPIRATION
in the City.
ADDRESS(STREET,CITY,STATE,ZIP) EMAIL
CONTACT PERSON-Select one person the city will contact for anything related to this project
T�'PROPERTY OWNER ❑CONTRACTOR ❑OTHER:
NAME PHONE
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ADDRESS(STREET,CITY,STATE,ZIP) EMAIL
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Fence Permit Application
Updated December 2021
Page 1 of 4
UBMITTAL REQUIREMENTS
A s�ite n that includes the following information:
i I All lot lines(the accurate location of all property lines is the responsibility of the property owner)
{a All structures(buildings,existing fences,neighboring buildings within 10',etc.)
,'The proposed location of the fence/wall line(s)with height labeled-Label the fence/wall distance
from property line and public sidewalk or sidewalk easement(note:all fences and walls must be a
minimum of 18"setback from public sidewalk or sidewalk easement)
i0 Any public or private right-of-ways
J Utility easements
Pr Clear vision triangles(see AMC 19.69.070)
cl"Critica areas and buffers(if applicable)
,D Landscaping Plan(if applicable,see attached information sheet to see if landscaping will be required).
ACKNOWLEDGEMENTS&SIGNATURE
Read and initial each of the following statements prior to signing this application:
I understand that the city's issuance of a fence permit does not constitute confirmation of the
accuracy of property lines as described in the application. Confirmation of the accurate location
of all property lines is the responsibility of the property owner or contractor.
By affixing my signature hereto,I certify that I am the owner,or am acting as the Owner's authorized
agent, and that the application and documents contained with this submittal are complete and
accurate to the best of my knowledge and abilities.
SIGNATURE DATE
Fence Permit Application
Updated December 2021 Page 2 of 4