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� <br />BUILDI[!G PERMIT APPLICATION <br />Appl:c.int To Complete This ^orm <br />; .: . . <br />..� � � <br />� <br />If more than one buildinq is to be contructer�, submit a separate permit appl:ca- <br />tion for r_ach huilding.o .1 separate permit will be issued for eac'� huilding. <br />� ,\ c <br />Or.•ner -�y�l�; � �` `��. i��� C'' • Bullding Address �-,.'a'-1� ) ���J�' �.�1�1��},_,`i_t <br />, � " � �- e <br />Address ;��,� ��.�,j f 9 C� ) � � � ` � �. '. Lot �/ Block ')-. <br />(i ,, � <br />City �j� ; '� C � y' Phone �p'�`,'� c�` � � �' Subdivision (Plat) � ,�C I � � " �t i �� .} <br />Architect./Engineer ��'��'� �p ��- _ <br />City _�_Phone \ Metes s Bounds (Unplatted) <br />Contractcr Sec. '1Wp. Rge <br />Aaaress EVERETT BUILDERS, fNC. ' <br />36 •710� 1 43�qgyg , <br />City ���� w.�_ Buildinq Use <br />State Lic��INO• FOUNDATIONS Describe Work to Be Done �](/�[� �d.fi _�1.� <br />QEMODEIJNCi c ,I '� ( � i � i � ' I "� t. , ' <br />Expiration Date > - I -�l `� �.L't .� 7 �1'-rrc�.c - /c c Z-'?�.� __ _ <br />SRETCII PLOT PLAf] DELOf4 <br />• . <br />: <br />Use of Building <br />[]New ❑ Addition ❑ Aepair/Remodel <br />, � � <br />Valuation of Construction 51��)[�(. <br />PLOT PIJ�N REQUZREEtE9TS <br />Indicate lut size, name of s[rcets, <br />indicate location and width of <br />alley.^•, lo�ate proposed and all <br />exicti��S buildinas,.shew distances <br />to propet�ty lines, show distances <br />between �uildings. <br />Lot size x <br />Lot area Sq. Ft. <br />Size of BL g. Sq. Ft. <br />Num6er of Slories <br />Basen�r.t � <br />(Sicned��y �� <br />� 1,c 1 n <br />For Jt J C :. �-'�Q�- �� <br />Owner Pnon��•I <br />il4 TftIS LIN£-FOR CITY USE OtILY <br />i�_, — <br />r � 1 <br />D;:tc . _cqj ,cd ���-`-' <br />Plan C`.__.. •lu:�tcr _[_`-� �l: (,. <br />^ ^ J� <br />Valuation ` 1 1�.(�.� � _ <br />Pemit Fee -�� �; � �� � <br />� � � �_ � <br />Plan Checl; Fe�e <br />Total Fo�± Due � � � J ' � �� <br />'l� � , <br />D�ro Issu�;_, ,� 71 <br />ULf .^.oRe � <br />F'ir�a Zonc ��' ! <br />Occuoancy Group I _ <br />'Pype of Constzuction �j' �� _ <br />� <br />O::cupant Load __ � <br />Sprinkler� Rer,uired � <br />C!i1` ; <br />�1P}'(;�' . <br />, , ��/_ �/'�.�,. <br />