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-� ' •• � ' � • � �pliCant To Coc�plcteYThis :otm �� -�)��'i j�-%'; /.,`7 ,
<br /> , •� ' xi r�ore than one buildinq is to be contructed, submit a separatc permit a�l�c� •
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<br /> ^ . . �Son Eor each building. �1 separate permit will be issued £or each buildinq.
<br /> . � ' Gvaer �owarth �Investment euilding Addzess �2823 Colbv Ave_ -
<br /> � � � • , 3ddress 320 Sea-First Bank Bldg. yat9 N.18 'of loglak 669
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<br /> '- . City Everett Phone Subdibision (Flat) Plat of Everett • ,
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<br /> _ lrehiteet/Engineer • � • '
<br /> _ !:_ : . ':j City • Phone Hetes i IIounds (Unplatted) ' •
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<br /> - :,': Contractor aa„'t xaqman ' Sec. lvp. Rge
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<br /> %'.`.`' Mdress 1022 Riverside Drive � " ' " '
<br /> �� City Mt. VernerRhone 424-6169 Bnilding Use _ Reta� 1 Gale's ' '�'F`: 'T��.
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<br /> � State,License Nuaber Describe Wozk to Ee .Done Remodel • �
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<br /> : . �i Lzpiration Dat� _ � New interior 'par'titions � .
<br /> � �.1: ' • S1�TCH PLOT PL17 B£LOtO' • • .
<br /> ' .:':.� • .. . .. • IIse of Buildiriq ' �
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<br /> _i• ' . ' " , _ ' � _ .. �' • []HeN ❑ �Fdition �Repair/Reno:;el
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<br /> : �• � � . - ' " . � . ;• • Valuukion of Construction $ $5,000.00'�
<br /> .�,. .� .�� . � - . ���. _ • .. .. • � I �� PLQ't PLAN P,EQUI?2E}ffi:ITS . : ' .
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<br /> ' j • • • � • , • . • ' Iiidicate lot size, nane of streets,
<br /> . �' + � ' � ' � ' ' •indicate location aad width o: � �
<br /> - . � ' ' i:= ' -. ` • allcys, locate pr000sed a-d all
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<br /> , • :-� , � • existing bnildir.gs, show c:.stances
<br /> _ z 3 . . �-Rr�--+ v . • , ,�'. ' . . to property lines, show distat.ces
<br /> • • 1 - ' betaeen buildings.
<br /> . . 1. � �/ • _ _ . � ' , . � , _ ., - ;
<br /> . . . . . f_ . .. . . . • • I.ot size 42 x � 1•10
<br /> ' � �� ;.ii s . . '. . . i.ot area 4620 ' Sq_ Ft.
<br /> ' . �S , , ' . . , ' . Sizc of Dlcq. 9620 Sa. Ft.
<br /> . . �i r. . ' ,. . • Ntwber of Stor810 nna
<br /> . ' :; • ' " Basement
<br /> r�..� �_ . � . . • ' • �>/ . �i
<br /> '�� . ' - • • '.y . Signed By �cr,Y.�nQ-�� �;a�e�1� t,
<br /> a.' . . . , . • C�r.�/�- �`.� �uf,.�-4 a C/c, <�.:c..,�`
<br /> ' _ , ' .' . . ... Ear � r ,d� . 7. -nLL1,C� �
<br /> • J--��7 Own Phone J-.i�
<br /> � „ ' DO NOT i�^iITE DELOF7 TY.IS LI:7E-FQR CITY US 027L'L ' �
<br /> . . Da[e �:eceived L � U�e• 2ane • , �
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<br /> ' Flan Chec;; ::ucSer �5--'�lQ.. ' Fize Zoae �[ '
<br /> �. Yalua�ioa �FC`�C7C`�J• �- Occuoancy t;ro� 1z _ 2�
<br /> � 8emiti Fce �3� • `� ` Type of Construction v - l 1-.i f� . '
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<br /> ' Plan Check Fce '��. � ' "` Occupant Load
<br /> , •,? Sotal Fee Due �?_ .���— SprinY.lcr� Required '
<br /> Datc Issucd ' //%��7 Y� •' • • ��t Y" :0'; •[VCftEI
<br /> . , . —�- • APP�2bVr.�• FOR BUILfliNQ �ERMIT . .
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<br /> • . • . , • • Da�e.-11�1J.�=--?�--�8y�• ,
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