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� <br /> i <br />� <br /> �y�s�� - :,. � <br />; � ,=_ . � <br />� - SUILDINC PERMIT APPLICATION �/� <br /> Applicant To Complete This Form � /�/y�,` <br /> If more than one buildinq is to be constructed, submit a separate permit ap- <br /> plication for each building. A separaYe permit will be issued for each build- <br /> ing. . <br /> Owncr Jerry Kelly � Pete Haraba euilding Address 1908 Broadaay Everett <br /> Address 1908 Broadvay Lot Blk. Sec. <br /> City Everett, Wn Phone 252-7572 Twp• R4�• <br /> Architect Subdivision (Plat) <br /> City Phone Metes 6 IIounds (Unplatted) <br /> Contractor Riverside Roof Company <br /> Addrecs 1522 Walnut Ave, <br /> City Everett, lin. Phone 252-7950 Building llse Otfice Bldg. <br /> State License NumUer ���_pp Describe I9orY. to Le Done <br /> Expiration Date Oct 10 1976 Inetall new hot bnilt up roof � <br /> over exieting <br /> � � Use of Building <br /> '._New . Addition � Repair/ :emo�el <br /> Valuation of Construction �� <br /> PLOT PL7S1 - <br /> - Indicate lot size, name of streets, <br /> � � indicatc location and width of <br />' � alleys, locate proposed and al] <br /> � existing buildings, show dis.ances <br /> tu pxoperty lines, show distance� <br /> . ' between buildings. <br /> � - IrOt fil'LC X <br /> , - . I.ot area 5•�'�• <br /> Size of. Uldg. s.i'. <br /> � � � � Number of Stories <br /> � � � IIa�ement <br /> � Use Zone <br /> � <br />[ . � . � � � ' Siqned Dy� � � <br /> For R4verside Roof Company� <br /> Owner <br /> DO NOT WRITE IIELOSJ TIiIS LIt4L-POR CITY USi: Oi�L'f __ <br />� Uate�Received Pire Zone <br /> Plan Check Number Type of Construction <br />� Valuation Occupancy Group <br />�� Permit I'ee Occupant Load . <br /> Ylan ChecY. Fee Sprinklera Required <br /> ' Total Pee Due _ <br /> Permit Number <br /> Date ldaued <br /> n��r,oV�D I UR 13UILDIfJG pCRh71T <br /> Date __RY <br />