HomeMy WebLinkAboutPermit File 1419 16th Street (2) S.'r Y O .'__ City of Anacortes Invoice/Permit#: BLD-2018-0603
904 6th Street
Applied date: 09/26/2018
y P.O.Box 547 Issue date: 09/26/2018
►`�'` Anacortes, WA 98221-0547
, Expire date: 03/24/2020
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Job Address: 1419 16TH ST Permit Type: Single Family Alteration/Repair Permit
ANACORTES WA 98221-2228 Project:
APN:
Remarks: Reroof and reside back yard shed.
Owner: MICHAEL DELANEY Contractor: DOULOS CONSTRUCTION INC.
Address: 1419 16TH ST Address: 13539 TRUMPETER LN
ANACORTES WA 98221-2228 MOUNT VERNON WA 98273-8905
Phone: (410) 279-7217 Phone: (360)708-2601
License#: DOULOC*964MZ
General Information: Fees:
Use Zone R3 Building Permit Fee 265.25
Building Valuation 15500 State Building Code Fee Resi 6.50
Total Calculated: 271.75
Deposits/Receipts: 0.00
Total Due: 271.75
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DA S;__ IIF
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CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMtNipp:; 114
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISII01114g
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN ORINOT,r.TH
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER',pT(sTEC}
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. cr t
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SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY ''-'▪� '�r ' '4 '3'
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G, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
IDENTIAL BUILDING PERMIT APPLICATION
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k� • SEP 2��8 Mailing Address: P.O. Box 547,Anacortes, WA 98221
,', Office Location: 904 6th Street, Anacortes WA 98821
Phone: (360) 293-1901, Fax: (360) 293-1938
CITY OF ANACORTES
PLEASE REFER TO THE RESIDENTIAL BUILDING PERMIT CHECKLIST BELOW FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS(Street,Suite#): PARCEL(S)#:
P Yl ? i6 S . /E144444 fca
Subdivision/Lot#: PROJECT VALUATION: $
,S6®
APPLICANT: Phone:
Rt*..5s , Dou.-l.
f o3 C-00151-, 360-70&- 6®/
Address(Street,City,State,Zip): Email Address:
13,36g f r c -,het (k)v, ct.s s P� Gam✓►-� a e.�
PROPERTY OWNER; / Phone:
lrllci 4Q.[ D2 1om27 L,/O 279_ 7.2l7
Address(Street,City,State,Zip):: Email Address: f
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CONTACT RSON: A Phone:
►�.SS I<e. ron So s- -t •
Address(Street,City,State,Zip): Email Address:
13968 df'sv-gyp4&' Mt..I)edhor)
LENDING AGENCY: g2-73 Phone:
Address(Street,City,State,Zip): Email Address:
CONTRACTOR:* Phone:
6e,ry,c as e4-iOoU-
Aliress(Street,City,State,Zip): Email Address:
Ott 6nS �✓►.S'� /'uzi ov'1
P ofessional License#: Exp.Date:
*All Contractors&Subcontractors must have a valid City of �v (,dC 4611117 Z. 7.30-O0 2 O
Anacortes business license prior to doing work in the City. Contact Business License#: Exp.Date:
the City's Finance Department at(360)299-1968. Q-ed .1,0 9
PROPOSED WORK: #o.42 yo.fd (5h•e.S - ✓1 e ti) (Do ✓) ,
PROPOSED NEW SQUARE FOOTAGE:
Basement SQ': 0 Finished Basement: 0 Unfinished Basement
Int Floor SQ': Garage/Carport SQ':
2"a Floor SQ': Deck/Covered Porch!Patio SQ':
Fire Sprinkler: 0 Yes 0 No Lot Area SQ':
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: 13 W1 Owner I Agent ❑ (specify):
Signature:
Date: '- 2 6 ig
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