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• , � BUILDING PERMIT APPLICATZON � •�•'i <br /> "' , � ]lpplicant To Complete This ?orm . ; <br /> � � Yf more than one building is to be contructed, submit a separate penr,it applica- <br /> ' tion for each building. A separate permit will be issueu for each building. <br /> Ovner Norman Tickner Building Address 3405 Kromer St. <br /> Address 34�5 Kromer St. Lot 3 & 4 Block 829 <br /> City Everett Phor.e 252-2120 Subdivision (Plat) Platof Everett Div. "H" <br /> l,zchitect/Enqineer accordin4 to plat thereof rec. in vo1 . 4 <br /> .� of lats paqe 50 rec. of Snohcmish Cty. <br /> City Phone _ Me�es s Bounds (Unplatted) <br /> . � Contractor San� Juan Pool CorPoratic6ec. 'It�p- R9e <br /> � � � l�ddress _]'?5 N. F. -198th . - . <br /> - - � <br /> City gPatYle Phone 363-5151 Building Use ':-�.' - <br /> . t� State License Nurl6er 223-0250-23 Describe Work to He Done � <br /> � Ezpiration Dat� Install private scaimminct Pool <br /> ;� � � SRETCH PLOT PLAN SELOSP� ' . <br /> . -S� � � Rse of Building <br /> , � � � � �� � . . �New ❑ Addition Q Repair/Remociel <br /> ' � . — Valuation of Construction $ $SOOO. GO <br /> ^ � � ' PIAT PI.F\N BiYQUIREldENTS . <br /> ...... S� a . <br /> ' �� . <br /> � � . � � • � Indicate lot size, name of streets, <br /> � � ; � � ' � -indicate location and width ef <br /> . _ � '� alleys, locate oroposed ar.d all - <br /> ;.•� . existing buildings, show distances . <br /> . .� � � � a � . � - to property lines, she� distances <br /> ' � r . -� � ^ • between buildin?�• <br /> \ �'� I .. Lot size �S u x / � L' � <br /> . . v . -bet-nrca �5��/,'��� Sq. Ft. <br /> • � Size of Bldg. Sa. Ft. <br /> � " Llumber of Stories � <br /> � Basement <br /> . ' � � • J <br /> . <br /> • � ., �- x� � Signed By � a�, J�� .e�,vr�-.��;� <br /> � � � •���lj` /�� <br /> _ For � ���`�i <br /> � � � Owner Phone �l �-.5-i s-/ <br /> � <br /> DO :70T SiBZT' 3�LOt7 THIS LI:dE-POR CITY USE 027L'1 <br /> � . <br /> Date Seceived 7 7 7 � Uce 2one . <br /> - P1an�Check ::ur..Ser Fire Zone 3 <br /> ��Z7C%'C7 ��� Occuoanc Grou� �"� n "' � <br /> Vaivation � T__ Y � . <br /> Pemit Fee �Z `J Type of Construct � <br /> JUL i � , ' <br /> Plan Check Fee Occupant Load __ _ <br /> Total Fee �ue � Z.`�' Sprinklers xequiredC�TY OF EV E ^^� <br /> 7 ,��, . . � ctlp� on°ep <br /> Date Issued CITY OF E•��RETT <br /> / � ������, ��-- APPROVED FOR [3UILDING PERMIT <br /> ,7"1 ;: ( iU . � / — <br /> • Date���-!��__F3y_ }` � <br />