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ApplicantvToyComplete This Form / <br />If more than one building is to be contructed, submit a separate permit applica- <br />tion for each tuilding. A separate permit will be issued for each building. <br />owner L. Lynn Young Building Address 3 i 2n l;a,,,i tt Avn <br />Address 2941 Pine Lot 1, 2 & 3 Block 6W <br />City �Fvprp t Phone_2F2_27f2S Subdivision (Plat) Swalw 1I's <br />' Architect/Engineer Kase Vanden Fndp• <br />City Everett Phone 252-5015 <br />Contractor Marvin Olson <br />Address 15029 S.E. 113th <br />+ City Renton Phone RA6_5Fg2 <br />State. License Number 223 01 9829 <br />I• • 3 <br />• 'I Ltcpiration Date <br />SKETCH PLOT PLAN BELOW <br />1 <br />DO NOT WRITE BELOT1 THIS <br />Date 6cceivcd <br />Plan Caeck Number 7 S - 4--2 S <br />Valuation �SZi� ICI <br />Permit Fee 14-7- <br />7- G <br />Plan Check Fee <br />-2- �c I 3c> <br />Total Fee Due 1 <br />Date Issued <br />let addition Vol, 2 Plat 103 <br />Metes i Bounds (Unplatted) <br />Sec. Twp. Rge <br />Building Use Tavern :. ' .... <br />Describe Work to Be Done replace bathrooiA; <br />add kitchen &-tnraap cpar•p, expand foyer <br />(see prints for detail) - <br />Use of Building <br />Mew ❑ Addition E3 Repair/Remodel <br />Valuation of Construction $35,000. " <br />PLOT PLAN REQUIREMENTS <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 distances <br />between buildings. <br />Lot size x <br />Lot area Sq. Ft. <br />Size of Bldg. Sq. Ft. <br />Number of Stori,Qon 2 <br />Basement I_V <br />Signed By <br />For L. L nn '0UnPhone__-25Z-_2385 <br />Uce Zone — Z_ <br />Fire Zone <br />Occupancy Group <br />Type of Construction - 1 N i <br />occupant Load 2.0 <br />Sprinkldrs Required "— <br />• CITY OF EVFRETT <br />APPROVE fOR"BUILDING PERMIT <br />Date 1 i21 /-11 gy �� -- <br />