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I : . $i8.�� <br />� BUILDING PERMIT APPLICATION I(�tj'�7-'JC• <br />Applicant To Complete This Form (- <br />� 5 !� <br />/3 '$�'G <br />If morc than one building ic to be constructed, submit a separate permi�ap- <br />plication for eacl� building. A separate permit will be issued for each buila- <br />ing. . <br />Owner poivh Falkenhaeen <br />Address RC 1 Box 579 H <br />Cityyo� Rgach Wn. Phone <br />Architect <br />City <br />Phone <br />Contractor R;:versLde 800f Company <br />Address 1527 Walnut Ave. __ <br />CiLy . Everetl: Wn pnone�.2-7950 <br />State License NumUer_ 223-02 <br />]ixpirat:ion Date <br />Building I+ddress 33rd 6 Rucker Ave <br />(Fashion Cleaners) <br />Lot 61k. Sec. <br />1�.•0. Rgc. <br />Subdivision (Pla��) <br />Metes L Bounds (Unplatted) <br />➢uilding U;se Commercial___ <br />DescriUe t4ork to 8e Done_ . <br />Install neW ho[ fiuilt up roof over <br />exis�ing roof <br />U,c of �uildiny Commerr;at <br />.Nuw . Addition Repai:/Femodel <br />Valuation of Construction $ 1.71g.00 <br />PLOT PT,T�N <br />Indicate lot cize, name of sueets, <br />indicate location znd width of <br />alleys, locate proposed and all. <br />cr.isting Uuildings, show distances <br />to proper.ty lines, show distances <br />between buildings. <br />Lot size X <br />Lot area S.P. <br />Size of Uldg. _S.r. <br />Numl�er of Stories <br />IaacemenL <br />Usc Zone __ <br />Signed Dy ��,y � _ <br />1'or Riverside Roo Companv __,_ <br />Owner <br />DO NOT R'RIiP•. I3liLOW THIS L7N7� FOR CI�PY fiSC ONLY <br />Uate�l2eceived Pirc Zonc <br />Plan Check NumUer � Type of Construction <br />Valu3lion __ Occupancy Group <br />Ycrmit F��e <br />Plan CLecl: Fc <br />TOCdL I'<=C UUC <br />Yeimit. t4ul�bcr <br />D��tc lssucd <br />Occupant <br />Sprinklers :tequ <br />APPROVED FOR RUILDihG P[RIv11T <br />�Y- ------- <br />�. <br />