HomeMy WebLinkAboutPermit File 1409 34th Street (2) _...___. ._ 0019 12/29/'2S 11. 001
Y,. .,. . 009 38 $1;7'2„
G�. O City of Anacortes Permit#: BLD-2011-0447
904 6th Street Issue date: 12/29/2011
?_ P.O.Box 547
Expire date: 06/26/2013
-‘ 101 Anacortes, WA 98221-0547
, (360) 293-1901
Job Address: 1409 34TH ST Permit Type: Single Family Alteration/Repair Permit
ANACORTES WA 98221-3322 Project:
APN: P57260
Remarks: Bedroom addition.
Owner: DAN MINER Contractor:
Address: 1406 34TH ST Address:
ANACORTES WA 98221-3323
Phone: (206) 579-5371 Phone:
License#:
General Information: Fees:
Building Valuation 8000 Building Permit Fee 123.75
Plan Review Fee 44.53
State Building Code Fee 4.50
Total Calculated: 172.78
Deposits/Receipts: 0.00
Total Due: 172.78
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL
PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR
NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER
STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSU BY
47
y Iesidentia Building Permit Application c) 15\:\
Building Department \, r.
.'� ry P.O. Box 547 Anacortes,WA 982 1�,;
Phone No.: 360-293-1901 FAX: 360.293.
SITE ADDRESS: 1,4-0 Cl 4 -t'1'1_
CONTRACTOR Applicant PROJECT DESCRIPTION
Named b• U l �� W t " " —
Address
City/State/Zip -
Phone FAX
State License# Exp
PAR. NUMBER
City of Anacortes License
PROPERTY OWNER 0 Applicant LEGA SCRIPTION
Name 1.J O NU
Address tk-o LP 3 4
City/State/zip C (Vu c$221 PROJECT VALUATION .
LCCoonne(R)`5 q 6-3?1 FAX t$ QOO '
6034m h•eArbv eX Number of Dwelling Units
E-Mail Address Number of Stories
pa Building Area:
❑Architect El Designer ❑Engineer!RI Applicant 15`Floor 2-415 s.f. 2nd Floor s.£
Name 3`d Floor s.f. Basement s.f.
Address Garage s.f. Carport s.f.
City/State/Zip Deck s.f. Lot Area s.f.
Phone FAX
E-mail Address
CONTACT F),•/Applicant LENDER
LENDER INFORMATION MUST BE PROVIDED FOR PROJECTS OVER$5,000
Name IN VALUATION PER RCW.
Address Name VIRO1A-1-�
. City/State/Zip Address
Phone FAX City/State/Zip
E-mail Address Phone No.
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