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
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PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
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`' - 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
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PROJECT ADDRESS(Street,Suite#): PARCEL(s)#:
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Subdivision/Lot#: PROJ ECT VtLUATION$
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AP CAN'T': Phone:
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A-dress(Street,City, S Zi • E-Mail Address:
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P P IZTY OWNER: Phone:
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Address,(Street,C' ate,Z'p): E-Mail Address:
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CO_�TACT PERSO Phone:
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Address(Street,City,State,Zip): E-M Addr ss:
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CON CTOR:* Phone:
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Address(Street,City, State,Zip): E-Mail Address
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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
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