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,.. <br /> � -- -> <br /> BUILUING PBRMIT APPLICATION � � �� �-� <br /> Applicant To Complete This Form _ �_ — <br /> . , ' ' �7� <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 issued for each build- <br /> inq. . � <br /> � Owner Robert Jacob Conno77.v Building nddress 3202 Norton <br /> Address4051 \E 170th Lot nik. . Sec. <br /> City Seattl@ Phone;64 "� SQ, �+p• Rge. � <br /> Architect Subdivision (Plat) <br /> City Phone N,etes & Dounds (Unplatted) <br /> � contractorCrusader Homes <br /> Aaar�ss2150 N 107th ��50G <br /> City .Seattle Phone3G3 3377 auildiny UseSi n�� a f^�^� � v rac <br /> State License Number2Z3 �1 11544 Describc l9ork to IIe DoneRebt>ild frnt, <br /> Expiration �ate march 1975 norch, lower kit & bath ceils. <br /> reroof, Reneral renovate <br /> Usc of Duilding <br /> '._New . . Addition )( Repair/P.et�odel <br /> approx. <br /> Valuation of construction 510.000 <br /> ' PLOT PLF�N <br /> Indicate lot size, name of streets, <br /> indicatc location and a�iclth of <br /> � a:.leyc, locate propoced and al.l. <br /> existing buildin9s, show dist-ances <br /> to propexty lines, show distances <br /> � between buildings. <br /> Lot size .x <br /> Lot area S.F. <br /> � Size of llldg. S.F. <br /> Nu�nber of Storie^. <br /> Ba�ement: <br /> Use Zon <br /> . ' � kSiyned By 7'�, :�0 /�. /1� <br /> � <br /> , For. ' <br /> � � � ��\Owner i <br /> DO NOT [9RITE OGLOIP TfIIS S.INli-FOR CITY USE� OhLY <br /> Datc�Iteceived n,�B� �7� � . Pire Zot�e ��J _ <br /> Plan Check Kumbe 7�— �{-�- Type of Construction V - �-i _ <br /> valusLion ��i C`�f.`L'1 � occupancy Group T <br /> Pcrmit P�e �Z' �� OccupanC Load - . <br /> � • Ylan Check f'ee_�Cv-� Sprinklers Itequired_ <br /> ��^{ w • <br /> ' .Total f'ee Due_ /y` <br /> Permit Numbcr� O� � <br /> Date Issued �2 Z __ <br /> ! <br /> AP?RI�VED FOR [3UIlilING PERh11T <br /> . oeta �Z ../ 1� � py t1 c: -- <br />