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' DUII.UING PERMIT APPLICATION <br />11z <br />Applicant To Complete This Form <br />If -more than one building is to be constructed, submit a separate permit ap- <br />plication for each building. A separate permit will be iss for-*— ild- <br />ing. <br />Owner John Fluke Mfg_. Co. I Inc. Building Address 9028 Evergreen W <br />� Address. 7001 220th S. W. Lot 5 Blk .000 D 0(�ec. <br />City Mountlake Terraggone 774-2366 Twp Rge <br />Architect Engineered I'•.d. Sys. Inc. _ Subdivision (Plat) Bever <br />( v <br />ly Gardens <br />Di. 1 <br />t <br />City Seattle, Wa Phone A T4-1181 Metes & Bounds (Unplatted) <br />Contractor Fluke & Subcontractors <br />Address <br />City Phone Building UseElectronic Equip. Mfg. <br />Slate License Number Describe {fork to Be Done <br />I <br />lxpiration Date _ Partition walls, Electrical, System, <br />I <br />& Fencing <br />Use of Building Repair/Remodel <br />'...New ..Addition Repair/Remodel <br />Valuation of Construction $100,000 <br />NOT <br />Date -Received <br />Plan Check Nuir <br />Valuation <br />Permit Fee_ <br />Plan Check Fee <br />Total. Fee Due_ <br />Permit Number_ <br />Date Issued <br />PLOT PLAN <br />Indicate lot size, name of streets, <br />indicate location and width of <br />alleys, locate proposed and all <br />existing buildings, show distances <br />to property lines, show distra,ces <br />between buildings. <br />Lot size 559 r. 1146 <br />Lot area 005.860 S.F. <br />Size of 131dg. 104 000 S.I•'. <br />Number of. Stories r Ja <br />Basement No <br />Use <br />Signed By <br />For John Fluke Mfg. Co. , Inc. <br />Owner <br />THIS LIIJL•-FOR CITY USE ON1,Y <br />Fire Zone <br />Type of Construction <br />Occupancy Group <br />Occupant Load <br />Sprinklers Required <br />APPROVED FOR BUILDING PERMIT <br />n <br />