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<br /> / + BUILDING PERMIT APPLICATION ' fi y�
<br /> � ' � - � � Appllcant To Complete Thia Form � �' � j,�`i'�
<br /> � � �''
<br /> � j•� � --.If more than oae building ie to be conetructed, eubmit a eeparate permit , �,.����i " j
<br /> -�` � � application for each buildin g, A ac parate per m i t`w i l l b e i a e u e d tor eac h � ' r,��. " �n
<br /> t�. building. ,� <•1
<br /> � ;.: , y
<br /> � {' Owaer „ ° . . �`
<br /> d2iDi1 AND RTa(`K FTF(`TRT(` Building Addrese ' � � I
<br /> ' � � ,� Addreee 3001 Hewitt Ave 21-25 655 : �
<br /> ^�;" . Lot Block
<br /> l ,���: � City verett Phone �g 5Q1 Subdivieion (Plat) Sma7vr17a 9 d edd'ri '
<br /> ` n to Everett
<br /> Architect/En ineer �
<br /> �"f{✓�,: _�.:'i�� . B� Mark Rnlomon - . � � , � .
<br /> , '� ` " - � � Ci�Y . F�a+'ar* Phone Metee & Bounda (Unplatted) • ' +�
<br /> � q� : , . .•:�'
<br /> � ` Contractor
<br /> � ,� R.S.T on T See. Twp. Range .�Y � ��
<br /> • t � ' � Ad�rese_ 5131 Colbv - Everett Washineton 98203 �� "' t
<br /> ,�` � : � �� -
<br /> . " L '' Cit�r Phone 5 66(f, Bvilding Uae j �
<br /> � 2�3 (bl-RS-TC-031DON P� �
<br /> � `� State Licenae um cr Deecribe Work to be Done � �
<br /> .;. i. ` • New—.�ilcl{n£— � � G
<br /> j.,;�.�• �''�:::ri ' Expiration Date � � � � � � :'
<br /> _March 1 9�
<br /> �,; . ��
<br /> ; .,;�,;.� �1.,.1': SKETCH PLOT PLAK BELO�V , �
<br /> � �
<br /> � Use of Euilding Appliance Repalr Service
<br /> ���'-�� ���' ���� � New []Addition �Repair/Remodel �
<br /> �:t.;' >;•��.. ';
<br /> ` ' ' '' � Valuation of Construction $110,000.00 �
<br /> C_ 1 f
<br /> 'ir.,'.�� ' . . � • . �
<br /> PLOT PLAN -l.EQUIREMENTS � � �
<br /> � � � Indicate lot size, name ot streets, � `
<br /> � . indicate location and width of alleys, � . :� '.�
<br /> .�� 45-�; � � ,,.x locate proposed and all exi�ting ' �r
<br /> - � . buildings, ehow distances to prop_ r ' � -' i
<br /> . erty lines, show distancea.behvicen � .
<br /> � �_ buildings. . � �
<br /> ' '..:, , . Lot size 120' x_ 125' i
<br /> • Lotarca 15�000 �
<br /> M . Sq. Ft. .`
<br /> �
<br /> � . Size of Bldg, 6,000 Sq, Ft. � �� . � �
<br /> ,�
<br /> ;,', � � . � '.
<br /> � r,.•.' fi'umbcr ot etoriea I i
<br /> B. 1
<br /> i��-� � . • ' Basement �� . '
<br /> . R ' ` .
<br /> t d�, i � �.. � �igaed � / �Datc2 ( � �
<br /> "..(; '
<br /> !�': � ForR.S.T. Const ction for Judd and Black Elect.
<br /> ft::. '�.1 - ' `
<br /> �..',..:1'^. • . � Owner Phone_� 6666
<br /> '
<br /> -� ' � . ,� DO NOT WRITE BELOLS� THIS LINE - FOR CITY USE ONLY � (� ��
<br /> $s�,,;<
<br /> . .,i}�.:,:�.'��� � � � Dtte Reccivr,d Use Zone � •
<br /> �
<br /> I?�tiii� ,�, � � � -`-- � . . �. 1
<br /> • „ , Plan Check Number Fire Zone • � -
<br /> �;,
<br /> �;i���' Valuation Occupancy Group �
<br /> i;.i., . . . . ���
<br /> Permit Fee r
<br /> ��a',,�,"' � � , Type of (;onstruction � ' � �
<br /> � � � Plsn Check Fee Occupant Load �
<br /> ,�;.,�� � �� � Total Fce Due Sprinklera Required �
<br /> '1]". .
<br /> ip�;=�' . Da[e Ieeved . . �
<br /> Ei.� '-'i.'.�� �'. '. . . .� I
<br /> Y�4.�w:�>r.ah.�a'c...�-v.- „ . . . I
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