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AUSLDING PEItI•fIT APPLICATION . ���. %-� '�, <br />Z� r <br />ApplicanL- To Comp].eL-c 'Lh3..^, i�orm ' � � <br />_,�„ <br />If mo:e than ane bui.ldi.ng i.^,�Co be con;Cruct•cd, submit a scp.�r.��t� pcimit• <br />applicaLion for. each buildinn. A;epsrate permiC a�i.11 be isnued Lor. each <br />Uuilding. <br />Owncr ;5 o I-/N t.' // �� 6, c_ ,�% Bui.lding Address ��' >�� J�� c�_�� <br />Address 6-:� 3r ��d�[ E�N `>( Lot- <r ,� I�locl� ���� <br />� _ . �� �, � <br />City (=C E i'ETT _ Phonc Subc7ivision (P1,��) <br />Architect/�n�incer ��, �_ .,r<< ,- �, �� — <br />City ` l�honc Mete� & I3ounQs (UnplaCCcd) ` <br />Cor,trector ���»G,z, i;'t.%Cr, (' u• Sec.__ T���p. _ Itge.— . <br />Address ; c�� G• � S. n' t� S —_ <br />City 57`��.�,.��.�, D PhoncG,-�Y-3�-zi — ---- <br />State Licer.se Number ,��,� 3-��� -y ��; � <br />Er.piration Date .='-.� -.� ? <br />IIuild`_ng Usc <br />Describe S7or): to ]3e Done /�DL>_ <br />CO1P?.'"`;: PLOT P:J;1! 0_'� R1;VL:ItiE iIDi: �l-- �✓�c�c�i�J ./�/� T f-/ ri il. D}.'i i�-�.Cn,� <br />. �e:� -l_,- �, nr�= �'�r-l�, ) <br />Nmnber of Stories l <br />. IIaseme:�L r � <br />' " tde�a Addition7 Repai,r./Remodel <br />Valuation of Constrnction ����" <br />• Signed Dy• ��� �.._ %v��,,,, �,,, <br />_ -�� ric � <br />Fo1' � c� N Ai i' -/ ��l t' �, /�- .. <br />Owner Phone <br />Do 1`ot 19rilc llelot•� Thi..^, Li.n� -F'or. Cii�.y Uce Only _ <br />Datc Teccived �Z .3 ' ' ' _ • Use Sonc �- � _ <br />lTlan C�ec): Number. �(� -/�/ ' _ rirr 'l,onc ��3 <br />Valuation Qif(�i,_�C� ' • Occ»pancy�Croup .I <br />Pemit I'ce "�Z, dC' Type of Con�t:�:uction ` � i_ <br />Plan Check Pee /!e• �9�-_� �x����Occu1�anL Load <br />Total Fec lluc �—� p% _ Sprinl;ler� Requir.ed _ <br />Datc I,aucd <br />. • CITY OF EVEREi'T <br />• .• APPROVED FOR BUILDIfVG PERMIT <br />, � • Date 7--� z i/ �. gy It.. <;. <br />