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_�._ - __ . _ _ ._ ... . _ _.. . .- -- --- _ _ - -- ---- � — -_. . ...._ <br />'C) �/�f�%� <br />' BUILDTNG PERMIT APPLICATION �/ T='� V...��� <br />\ Applicant To Complete This ?orm -. <br />;/s/-j� . <br />If more than one building is to be contzucted, submit a separate permit applica- <br />tion for each building. �1 separat� permit will be issued for each building. <br />/� I ,n <br />Owner �Jltte� IQ �.fa...d uvl Huilding Address 'iCi �� L[ /Un���l�f!-''�''�' ` � ?�� <br />Address /J?/>. ,/.7hc ¢ZQ Lot�-i:�� -�'�' Block <br />cityAlU,�.lf�_ phone 355—//35 subaivision (Plat) ii�j_!;i' i C�f� I c` <br />Architect/Engineer ,t ��. �r_ L�,`� G, i c U � <br />City Phone <br />ContractoxDAVID A. BRANDVOLD <br />GL'NGRA � '-- <br />Address 0. BO% •TL8 - <br />City Mukilteo, WPho�ne on <br />State License N�nber 7K?�-Q/-/a5/O <br />Expiration Date �o ��-%G <br />SKETCli PLOT PLAN BELOW <br />1 <br />gy.30 � <br />--- - r— S. --- < <br />_' Y .. <br />N �J � �\t . . � '. <br />_�0� \ a y' <br />a <br />i V d <br />� <br />Date .'.ece:�:ed <br />` �� b <br />`�; e <br />,� <br />� ` <br />� �� y <br />RO,oa� <br />Metes 6 Bound� (Unplatted) <br />Sec. Twp. Rge <br />Building Use <br />S I„� 1� Kt /CCS i <br />Describe Work to Be Done � <br />Cous�ra� A.�l i�-vy.-z <br />Ose of Building S'6 �(,yti e�Go <br />� <br />-idNew ❑ Addition ❑ Repair/Remodel <br />Valuation of Constructio�i $ ai DO b <br />PLOT PLAN REQUIREh1ENT5 <br />Indicate lot size, name of streets, <br />indicate location and �vidth of <br />alleys, locate proposed and all <br />existing buildin9s „show distances <br />to property lines, show distances <br />between buildings. <br />Lot size / 't x�!'9 � 3 0 <br />Lot area /a��p Sq. Ft. <br />Size of Bldg. �a r 3C- /Q3R Sq. Ft. <br />Number o£ Stories / %Y <br />IIasere.^.t�_ <br />Sign� By �JA�v � _ <br />For �d• �• 1� `� <br />Owner Phone �i1�1 I S <br />DO NOT WRZTC 6::LOS� THIS LINE-FOR CIT': JSE O:iLY <br />Plan Chec;c vur.,'rer �S �Z�'� <br />Valuation <br />Pernit Fee <br />Plan Checl: Fec <br />Total Fee Due <br />Datc Issucd <br />U_e Zone <br />Fire 2onc ' <br />Occuoancy Group <br />Type �f Construction <br />Occupant Load . _ <br />Sprinklers Required <br />Ci y f`;: ,�-._ i T <br />C�P��RO�'�b FC;2 C�UfLC;;,�G !'CRi\41T <br />C`- — -_ <br />