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RMIT <br />ApplicantGToECompleteLThis lForm h p,/ �V ' <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 />ing. <br />Owner City of Everett <br />Address 3004 Wetmore Ave, <br />City Everett, Wn Phone_, <br />Architect nrie <br />City <br />Phone <br />Contractor Riverside Roof Company <br />Address 1522 Walnut Ave. <br />City . Everett, Wn Phone 252-7950 <br />Building Address 3004 Wetmore <br />Lot Blk. Sec. <br />Twp. Rge. <br />Subdivision (Plat) <br />Metes L Bounds (Unplatted) <br />Building Use Administration <br />State License Number 223-02 RI-VE-RR-30T2moscribe Wnrk to Be Done <br />Expiration Date 10-10-77 <br />Repair roof per plans <br />Use of Building pdmini�tration <br />'.._New Addition Repair/Remodel <br />Valuation of Construction $ 2_R32.00 <br />PLOT PLAN <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 S.F. <br />Size of B dq. S.F. <br />Number of Stories <br />Basement <br />Use zone <br />777 <br />Signed Dya�lo-,i� Q, i <br />For Rivers'iiddee Roof Company <br />Owner <br />DO NOT WRITE BELOW TH15 LINE -FOR CITY USE ONLY <br />Date -Received Fire Zone <br />Plan Check Number Type of Construction <br />ValuaLi On Occupancy Group <br />Permit Fee 0 . <br />Plan Check Fe <br />Total Fee Due <br />Permit Number <br />Date Issued <br />ccupant <br />Sprinklers Required <br />APPROVED FOR IIUILDIIJG PERMIT <br />Date -_D <br />