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, � . . .- _ . . . . . . . , - ; _, <br />• . . � :� �• 11UxLAING PT:RMI'P APPLTCA'rzoia . •. � , � _ <br />--� ' . . . �►PP�ican�: ro Comp].eL•c '�his I'orm • . <br />if unre than one buildi.ng i.�to be constructed, euUmit a separ.aL•e rer.mi.t• <br />eppli�'�L•ion for cacl� Uuildin�. 11 separaL'e per.wiL• wi.11 bc i�sucd _for c�1ch <br />building. . . ' , •� �"�<=i� � <br />� . . Owner ��� Shch�toU58� .:. IIuilding Address �. /.33 _,. =� =�, <br />Address "Po.Bok 1Tl . Lot i_ Alac): <br />City L�fl�tiv�tooD Phone 77lo-1Z�'i Subdiyision (Plat) • <br />Arehitect/Engincer � � � � <br />City Phone Hete:; & IIom�d�: (iJnPlaCCcd) , <br />Conttactor ��,,� Sec: '��'i�• r9°• <br />.Aaa_�_:S <br />CitY _ ^__ Phone '. •h.g� �.rree �D � <br />.State Licer.se t�umber �2'S�OI-68�1 ' � <br />• Er.pir>_ticn Date 3-1-7iv <br />••RACT 2: , <br />Lot U, the North 13.0 tcet uf Lot 3 and the South 24.0 <br />feet of Lot 5 Block �i53 Carf'icicl Ser,ond AddiLion to <br />� EvereLt, as platted and recorded In VOWashington,Plats, . <br />PageG'j , Records of Snohomish Courity, <br />' , Number of Stories <br />.' , ' 'Basement <br />- . • ' "' • Neca ' Addition Repai_r.�Remodel� <br />�'' ' � "' ' . ' • Valuation of Construction $' � <br />• . . ' ' �l8 �.r'la / <br />� .. � Signed IIy �f� �G'ld,T�..c.� <br />.. . . . <br />• : • . � . For <br />. .' t • <br />� • . , • � . . ' ' Owner � Phone __ <br />. y .:a:''. ... . . ':' : • '. . . • .. .. � , ' . '• , ' . <br />•, .�• •• ..1 Do t�ot (•7r�'��lo�•r This Line-For CiCy Use Only <br />_ . �Date—i�ed . . ... .. , ' llse .Sonc ' <br />. '� �2f].an Chec}: Number ' • . Firr. 2one <br />Valvation � ' • Occupancx•Group ' . <br />Pers.it 1'ce • . Type of- Conctruction �— <br />'1'lan Check Fee OccupanL' Lond �_ <br />T,otsl T'ee Due Sprinlcicrs Required �_ _ <br />Datr. Is:,ucd . . . . . • ' . <br />� . : . .. . . ..:' • , <br />. � :..• . . • • <br />.'}. . • . . , ' • . ' • ' ' � ' <br />