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. .. _ . '-sy., � . <br /> : . nazr,nr.wc r���z���z�r nrrT,.r.cn�riot� . �'�7���ti <br /> • App:�.icant '1'o Com��].e1:e 7'his. ]'or.m .' �j/� /� • <br /> C// <br /> If more L-han one 1n�i.lcli.nq i,. to be consiructed, submii� a separal:e perSiu.i: <br /> apn].;.cai_ion for cach bui.l.di.ng. A separ�ite �>ea'mi.t wi.11. bc issucd f:o�- cach <br /> bui.ldi.ng. <br /> Owncr ponald A. Nicholson 13ui.].cling Adclress 7g10 Forest Glsltle <br /> Addr.ess 7910 Foresr G Zde Lot 157 l3].oc1: <br /> City Everett, Wn. 1'hone 355-0588 Subdi.vi.si.on (Plat) _ <br /> T.r�.hi`ecL-/13ngineer _ ,___ __ <br /> Cit;� __ Phone _ A7ctes & 13oundr (Unplatted) <br /> Cont_actor San Juan Pool Co�. Sec. Ttap. P.�7e. �__ _ <br /> Addr�_ss 735 N. E, 198th _ Lot 157, Vall�,y V�w �`_nP� r�ta*.__ <br /> Cit;� Seattle Pl�onc 363-S1S1 recorded in Vol. 27 of plats on pages <br /> Statc I�i.cense hTumUer 223-5023-02 $$ to 90, inclusive, records of _ <br /> Snohomish State of Wash. <br /> T'>:pira�ion Date ' _ <br /> Building Use -- ` . <br /> Aescribe T4or}: t:o 13e Done <br /> Tngtall nriwa+c eS..;�,��._��__._ <br /> COIPi:"T FLOT PLI�N oV ttrv�r���ri SII1� -- � <br /> ~Y� �� Tumber of Si:ories <br /> l3asemcnt -- - <br /> ' . . . ldew Addit�.on Repa�.r./ltemodel' <br /> Valuation oL Constructi.on $ 5,000.00 <br /> - "( � — <br /> . Si.gned ]3y n �.��� <br /> 7Por. ��..J `l7 � _��,.�-- >-- <br /> Ormer Phone ,�,j-Ct;f!� <br /> Do ]?oi: i•�r.i.te Bclo�•r This r,in� -r•or ci.t:y Use Only ___ <br /> Date l:eceived � 2 �/ 7 �i . Use Sonc ----- <br /> 7s].an Checl: Number ' rir.c .`l,one -------- <br /> � DU <br /> Valuation `�[��� ' • Occupancy �G�-oup _ <br /> Permit I'ee J2. �U Ty>pe' of Con,l:r.uct:i.on _ � • <br /> Y1an Chec]c I'ne Occn��anL- 7,oad ._ _.._, <br /> 'POL.:l. Pec 1)ne ✓� Spri.n):lers ]:equir.ed •---`_ <br /> llatc Tsstted a/' <br /> '� <br />