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, , •! . — . '. S9OILDIt7G PEtiHIT 11FPLICATION ' ' ' • �./,'f� � � � .1 <br />�• • ' , • , � ilpplicant To Completc This =orm • ' ' •. .' f � <br />.. ; �/a��s <br />, ••� .Zt norc th�n onc buildir.g is to bc contructed, submit a �eparatc permit applica- <br />.. tlon for cach buil�lin3. A separatc permit will bc issucd for each buildinq. <br />, �' Oimer �2 w T� n Y h f Suilding Address �'d � 3 1 %� t U 0 f� W O.v <br />� <br />,' ,: aeaz�.9 �� 1 1� r e e n w e � LotJ i- 1(, aio�x S�� 7 <br />, . <br />' y � City �� V t y t,� Phonc Subdivision (Plat) ��Vr � i�• • <br />' • Erchiteet/Engineeu �� � • <br />• '•• "� City �V� Vt �' phone � � y • j Oj 7 .Metes & IIounds (Unplatted) <br />- "S . <br />.� :,'. Cantractor �1�`��11' �ny�( c�nY 11 Sec. 1�ap. Rge .. <br />_ ,..� . , <br />� �. ' :� .a31+T!55 �. D. f_� I X ��i- �.' ' • . • • <br />i <br />: i <br />.. f,City �v[V �`(J• Phonc 'Duilding Ose �y U D UCt � A b�PV'o �" :., <br />_ .4i . ,,; . . . , . • _.:.:.�.Y .. <br />'+:� Stzte License Ni,.-�ber Describe Work to IIe Done .'' <br />�• .�1 Lxpiration Dat� J� - ,_ yy 0 11 Z / h i° � U � C ti . . <br />, _LI�.L.Ll�- <br />>>' ~ � � = ST.ETCSi PLOi P?u�7 IIEI.OW' • <br />, : • , . � <br />. ::i . . • . , . � ase of 3uilding % � <br />�� • .,� .�� �21eN ❑ Addition ❑ Repair/Fesc5cl <br />, ;' . . . � . .. ' c . �v . <br />. " ; _ ' • . . • paluation o£ Con�t_uction $ �� � p ' � � � <br />�. e • . . . . . _. . . . <br />- •� ' . • ^ PIAT PLA!d R �llIF'..:.':`:�T5 • <br />� . .. . ' . . - <br />� � <br />' ! • � � • • ' JCndicate lot si�e, na.:.e of streets, <br />' � '' • ' ' �indicate loca:io.^. ar.d width of <br />- . � 3 • _ � . • • alley�, 'locate p:oposed � :d all � <br />' '"j • " � .existing buildi :oa, sho�o,dis�ances <br />_ ;'_ • ..' - --'a ; • .4's. . . . -�o property lines, shoa distaaees <br />, , , ._� . , _.bet;�een buildings. <br />. ' . , .. ' . . <br />R <br />DO N0:` Si:2IT� 9ELOl9 TIiIS <br />D:.te �eceived <br />' Plan C:icck.:la�Scr ._ ' <br />Valuation ' '�,L�'XJ• �' <br />' G . <br />Fcmiti Fce � 24. � <br />Plnn Ci�ed: i'ec • <br />,. �.�vr,�. r�� n�� ' 24. m`—' _ <br />� <br />notc Tc�ucd • <br />I.ot size x • <br />Tnt area Sq: Ft. <br />Size of IIldg. So. Pt. <br />Number of Stories <br />IIase�acnt <br />Signed Dy �LL�S.i.� <br />For ' <br />' Ow��cr Y,tone <br />Uca•Zone <br />Firc Zone L' <br />Occuuancy Grou� • G . <br />TyPe af Construction jJ_ � H i� <br />Occur�nL Load . <br />Aprinl;lcr� 1;c �C111T�Y�OP EVERETT • <br />, �APPRO�ED FOR �" <br />� �/ <br />'; Oate ''Fj • � :. By I`� L ' <br />