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DUZLDIt:G PERMIT APpLICATION <br />Applicant To Complete This Form <br />��.a <br />S'�3- �G' " <br />�P <br />If more than one building is to be constructed, auLs�t a separate pcfxni'fY a�-G <br />plication for each building. A separate permit will be issucd for each build- <br />iny, <br />owner Dan Bracken <br />Address 914 Nighvay 99 No. <br />City Everett, Wn. Phone 259-6161 <br />Architect N/p <br />City <br />Phone <br />Contractorg{verside Roef rn�s,ny <br />Address 1522 Walnut Ave. <br />city_ Everet[� Wn Phone 252-7950 <br />State License Number 223-02 <br />Iir.piratior. Date LO-10-76 <br />Buil�ling Address 914 Highwa� 99 No. <br />Lot IIlk. Sec. <br />Twp. Rge. <br />Subdivision (Ylat) <br />Metes a IIovnds (Unplatted) <br />Building Use Commercial <br />Dee,cxibe worY, to IIe Done Roof rep8lTg <br />Use of IIuilding Tyee Rowl <br />._New . Addition ltepair/Remedel <br />Valuation of Construction $ 1,460.60 <br />PLOT YLAN <br />Indicate lot size, name of streets, <br />ir,dicate location and width of <br />alleys, locate proposed an1 al]. <br />existing Uuildin9s, show distances <br />to property line�, show distances <br />between buildings. <br />LoL size x <br />Lot area S.F. <br />Sizc of llldg. S.F. <br />Number of Stories <br />liasemeut <br />U�c Zone — <br />/ <br />Siyned By �2f;>„��7�� • ��_n�.. /� <br />r <br />For T,eonard Rei.chlln ` <br />Owncr <br />DO N07' I9RITP. ❑LLOI4 7'Ii1S LING-FOR CITY USI: ON7,Y <br />Uatc*�Received Pirc 2one � <br />i'lan Checl: NumUer.� Type of Construct-ion <br />Va].uSi�.ion Occupancy Group_ <br />Parmit I'ce <br />I�lnn ChecY. Fce <br />Total Fee Uue <br />1'ermit Numbcr <br />Datc Issued <br />Occupant <br />Sprinklcrs Required <br />APPROVEp FOR QUILDING PCRf�71T <br />� <br />