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HomeMy WebLinkAboutPermit Form.pdfCity of Anacortes Invoice/Permit #: BLD-2021-0219 904 6th Street Applied date: 03/22/2021 P.O.Box 547 Issue date: 03/31/2021 _, Anacortes, WA 98221-0547 Expire date: 09/27/2022 (360) 293-1901 Job Address: 2319 30TH ST Permit Type: Single Family Alteration/Repair Permit ANACORTES WA98221-2605 Project: APN: P57712 Remarks: BATHROOM RENOVATION AND INSTALL WINDOW IN BATH, TILE SHOWER, AND REMOVE NON LOADBEARING WALL. Owner: BONNIE BAUGH Contractor: ZACH GELEYNSE DESIGN LLC Address: 2319 30TH ST Address: 14225 HEMLOCK PL ANACORTES WA 98221-2605 ANACORTES WA 98221 Phone: (360) 708-9365 Phone: (360) 389-7347 License #: General Information: Fees: Flood plain development N Building Permit Fee 153.25 Building Valuation 8000 Plan Review Fee 99.61 # of Showers 1 State Building Code Fee Resi 6.50 Plumbing Permit Fee 27.00 Total Calculated: 286.36 Deposits/Receipts: 0.00 Total Due: 286.36 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. ' C � SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY