|
_ � .. { �. . • /OILD2HG PERlfIT APPLICATION • � y �. 7.. r��y , r.• 'J''
<br /> .. . � . , �pplieant To Complete This :orm � v` . •.'
<br /> /'/ '/�'.Ll: �
<br /> . . ' /�,�/,/:�'"�
<br /> . _! oore than one buildinq in to be contructed, suhmit a aeparate permit applica- •
<br /> , tloa Lor each buLldinq. A separate permit will be issued tor each buil3ing.
<br /> , ; ' Ouoer �SA s�'Fl�'r A SV .� � c G�c- MilAinq Address � C� ':%� .
<br /> �5 ��" /'.�h� �.
<br /> . JEdress :5 3i.3 C=G z".�'C�('G,'"��: ` P �, c .
<br /> � � �-' (O �Z Slack '_'�
<br /> �
<br /> , �h' � � � � �hone 5'� -'?f/;y s ��141sion IPlat) •
<br /> � • � ,
<br /> . ' iseIIitect/Engineer , �µ�� �
<br /> _ .i�' c.� � ' �� • . .
<br /> � p�e lfates i Hounds (Unplatted)
<br /> •., „' :�. Oontractor � ' . • '
<br /> .•, '' ' '� �ddress Eee. �, �a '
<br /> �� Clty Phone . .,
<br /> • .•`�� • . �ullding Use �'v� .�/E'ii��` . . ;�.:.!
<br /> u
<br /> � ' � �tita Licensa Nmeber • .,�r'?:.;�•
<br /> Oescribe Work to ee Done "'L "
<br /> •; • �i t;plration Oate , C��ST � . •
<br /> T S �
<br /> � `'1: .. . ' tRETCN PLOT PLAN B LOIP' �S �«� r
<br /> � �.i� - ' •.. ---- \. � ' �W . ,
<br /> �-: - Ost of 8uildiriq t
<br /> . '' - -•-=-._
<br /> �'. i - • • �-�.'..
<br /> . . . .i . : '.�. , ' ���v ❑ Addition ❑ Repair/Remor.el
<br /> `'�. ' . �.� . Valuaiion of Conatruction $ .�o.�,�,,,. ,�,„.'
<br /> �� .
<br /> �v. . / -I ' • ' . . I ���
<br /> : : � � :' . .. 6� : t • ' , lLOT PI.AN REQUZRE�[E:iTS • .
<br /> . � � . : ;+
<br /> .;
<br /> • '� . ' � �. . � ' ' ,• ' ' Ipdicate lot size, name of streets, �
<br /> : i.I Q„ • : ��, j� � " 'indicate location and width of ,
<br /> �"' . . ' , alleya, locate pt000sed and all �
<br /> . , y � •(� �, '.,, .•_, ., � , : �� ' ptistinq buildinqs, sho:,r distancea �
<br /> , � � • • �'. � � • )..\. to property linen, ahow distances
<br /> � . bstveen buildings.
<br /> . . . . � . {� � .
<br /> ' �' � Lot sise ' . •
<br /> :d= . . � � x
<br /> • �. `� � � ' . Lot area 8 Ft.
<br /> ri . �„ ' �.' .' � si:e o! B q, q'
<br /> � Number of Stories s9• Ft.
<br /> � ��.�� � �, � ^� • 1 DBfErtIQJIt -
<br /> ' y� � � 8lqned 8y ; .'<c s �- "�� _
<br /> , �. • • � � . . j� � " '_ � c..
<br /> , eor }SAs PA�2�1 A tU �ceN� ' C ,�
<br /> �
<br /> • - � Owner 'F ne � ,- s ,v�y
<br /> —� '. ; .3'�is
<br /> .
<br /> ' . D�O�OT K:lITG HELOFI THIS LIYE-e^OR CITY USE Ot7t'1 � � 3 � �l3 � �/c'�.v�-.'
<br /> ' _ Date Seceived 5 Oce• Zone
<br /> — � .
<br /> ' ilan C.lec� :turber 7'S= 3(03 • sire zona .
<br /> �
<br /> ,Yalaa.ion �(� �,�•� peeupancy Graup y� 1-
<br /> Teenit see / Z7, OU; . �
<br /> • 'lype ef Construction � _U ,
<br /> • tl�a Check Pee� _ [U �. `�� Oceupant Load �
<br /> • �; lbtal Fee Due _ � % O J Sprinklcrs Required • �
<br /> Date Issucd '' ' • . � CIrY OF EVERETT •
<br /> • • .. � . APPROVI�D• Fn(� �U1�UlRIG PERlv11T
<br /> � . . . . • - � • ; Date.�/,-2��..! 7� By�. .
<br />
|