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HomeMy WebLinkAboutPermit File BLD-2019-0608 1614 10th Street — City of Anacortes Invoice/Permit#: BLD-2019-0608 904 6th Street Applied date: 09/16/2019 `"' P.O.Box 547 Anacortes, WA 98221-0547 Issue date: 09/16/2019 Expire date: 03/14/2021 Job Address: 1614 10TH ST Permit Type: Reroof Single Family Residence ANACORTES WA 98221-1928 Project: APN: P55936 Remarks: Remove old roofing and replace with one layer of Class A comp roofing. Owner: CHRISTINE THOMPSON Contractor: WE DO THAT HANDY MAN SERVICES Address: 1614 10TH ST Address: 32618 224TH PL SE ANACORTES WA 98221-1928 BLACK DIAMOND WA 98010 Phone: (206)427-7292 Phone: (206) 578-1063 License#: General Information: Fees: Occupancy Group it-1 Building Permit Fee 125.25 Building Valuation 6000 State Building Code Fee Resi 6.50 Total Calculated: 131.75 Deposits/Receipts: 0.00 Total Due: 131.75 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 WHETHE SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TH OVI3IONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ORAdT EDAGENT ISSUE Permits and Insp.,. - BLD-2019-0608 - 2019 019369-0066 Carla Br... 09/16/2019 01:51 PM 12528 - WE DO THAT HANDY MAN SERVICES BLD-2019-0608 Reroof Single Family Residence Payment Amount: 131.75 Transaction Amount: 1,281.29 03FIN CC: u* ****7601 ()) LO - 20iC1010Y PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT .y C) `' - RE-ROOF PERMIT APPLICATION Mailing Address: P.O. Box 547, Anacortes, WA 98221 'Y.q c``? Office Location: 904 6``h Street, Anacortes WA 98821 Phone: (360) 293-1901, Fax (360) 293-1938 PLEASE REFER TO THE RE-ROOF PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS k RESIDENTIAL ❑ CONEVIERCIAL PROJECT ADDRESS(Street,Suite#): PARCEL(s)#: ./‘/i? ""•5 .57‘ t'(14cc k c t, Subdivision/Lot#: PROJ ECT VtLUATION$ t>c° AP CAN'T': Phone: .eu,\I\ (34ite ,1,€� -,� 7g--l0(o3 A-dress(Street,City, S Zi • E-Mail Address: — (Ig 2,4`t t L .0 P P IZTY OWNER: Phone: 1-- TI V1 e. I k1e (1SO r / `-L/r 7_ 7.ig2 Address,(Street,C' ate,Z'p): E-Mail Address: C Le 4 l St-, H-I16-� r eS, iL c I cry bzk�e 59C ci t'1 (0,4 CO_�TACT PERSO Phone: 4tovtvl I` (ler i�`)Lc --,59g-"I(703 Address(Street,City,State,Zip): E-M Addr ss: V\J W-- CAP � t: CAVt/t / KaIn, Ir)t I(PrzD(9 00/11c,lI,(' Vn CON CTOR:* Phone: ke,V I VI lirl i 11,e vi d ' .5 C0 C0 Address(Street,City, State,Zip): E-Mail Address 641-'17 Contr�License# Exp.Date: *All Contractors& subcontractors must have a valid City of C_Lv1'Y'L'10 fd lr 0CIe 7 Z —Z 0 Z Anacortes business license prior to doing work in the City. Business License#: Exp.Date: Contact the City's Finance Department at(360)299-1968. V O 3 .,-)A 0- ( � --z(P_ 20'0 PROPOSED WORK: . 1/ eL 1/W o yu'lol 1, !f (A) t 4-L1 czork. S/1- t-1_ rOditri TYPE OF ROOFING: M/N j k!C(4 NUMBER OF LAYERS: ( CLASS OF ROOFING:;IA ❑ B ❑ C NUMBER OF SQUARES: - 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 Anaccorrtesl. Print Name: I Vt I' I (/( pp �L IJ 6 ' Owner. Other ❑ (specify): J Signature: t ci Date: "((.,' 2_0 1 q 0 Page 1 of 2