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BUILDING PERMIT :,PPLICATION <br />Applicant To Complete This Form <br />If more than one building is to be constructed, submit a separate permit <br />application tor each building. A separate permi[ will be iesued for each <br />building. <br />Owner RobCi't 317pver Building Address ��� � <br />6217 Sycanoro <br />Addreas Lot G3 Block <br />Gity �erett phane 353-0064 Subdivision (Plat) �;ighland Sstates <br />Architect/Engineer 170n� <br />City Phone Metes & Bounds (Unpla[ted) <br />Contractor �'�rei;t $�i1�7�,-,;� InC, Sea T Aan e <br />— �•_ s <br />Address 5h0�i Lwnrrrnen '�!ajr <br />City �nrn+t Phane 353-7161 guilding IIae <br />�%di'� <br />y/</s- <br />State License Number 2?'i-.p1-11/,.^.�+ Describe Work to be Done ���nntrnni- h�th,..,� <br />6-30-75 tileand neur floorin�. alco rc,ide (alun) <br />Expiration Date <br />SKETCH PLOT PLAN BGLOIV <br />Use of Builaing _ 1toLIC <br />-QNew ❑Addition [�jRepair/Remodel <br />Valuation of Construction 5 3130.00 <br />PLGT PLAN REQUIREMENTS <br />I��'0catc lot size, name of streets, <br />indicate location and width o[ allcys, <br />locate proposed and all existing <br />builQings, show distances to prop- <br />erty linev, aho�v distances bet���ecn <br />buildings. <br />Lot size x <br />Lot area_ <br />Size of Bldg. <br />Nvmber of etories <br />Basement <br />Signed IIy� Datc <br />. .. _ � For�d�.� _ v 'L5_ <br />Owncr Phone <br />DO NOT WRITE IIELON THIS LINF - F02 CITY USE ONLY <br />Aate Reccived <br />Plan Check Numbcr <br />Valuation <br />Use Zonc <br />Fire <br />Occupancy Group <br />Permit Fee Type of Construction <br />Plan Check Fee Occupant Load <br />Total Fec Duc Sprinklers Required <br />Date Issucd <br />Ft. <br />Ft. <br />