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i <br /> i <br /> 1 <br /> I � --- --. . ' _ - <br />, � HDILDING PERMIT APYLICATION /���/�� ��� <br />� Applicar.t To Ccnplete This ^orm ���3/� � <br />� If more than one buildinq lg t�=at��Permittvill bemissuedeforaeacheb it in9liea- S � <br /> tion for each bui ing. � P' �/n/ �Y,j __/��� <br /> ��- /��..��,�� 8uild�nq Address !i 'r`� <br /> Ownez �=�� <br /> z. �,-o..d.�,��/ ..�t,�.�3-�—���o�k <br /> Address �,�__ _ _-- C f <br /> City GI�� 'r� Phoney'J'��� d ��� Subdivision (Plat) � � <br /> ,Architect/Engineer __ � . - ���� <br /> City � phone Metes 6 Bounds (Unplatte8) <br /> Contzactor <br /> ` � - Sec. 1WP• R9e --- <br /> . <br /> Address � ' �� <br /> �sT <br /> City�IiQ'� Phon �� Building Use ��.P -- .� <br /> State License NumberaZ�-D/-_i3�S Describe Wczk to Be Done���'�-� <br /> �+ r <br /> � Y <br /> gxpization Date 7 - �� �� <br /> � - ' ��'� <br /> SRETCH PLOT PL71N BELOW — . <br /> � � tlse of Building =r— <br /> �New ❑ Addition ❑ Repair Remodel <br /> aC'J�^�• <br /> Valuation of Construction 5� <br /> . , .. PIAT PLAN REQUIREt•SE:ITS • <br /> , Indicate lot .size, name of streets, <br /> �:. • indicate location and wiflth of <br /> II ,+ � . , :x alleys, locate proposed and all <br /> , existing b�ildinqs, show distances <br /> ��,� � , � to property lines, show distances <br />� . between buildings. <br /> �; �„� <br /> � x <br /> ti� 1 � Lat size <br />� '- "p` I ' Lot area Sq. Ft. � <br /> �;"� � � � Size of Bldg. Sq. Ft. � <br />� <br /> f � - - � ,., � Number of Stories • � <br />' � $�SC.^..C':t � � <br /> / � <br /> Si� By � : <br /> � � �' k � � <br /> Owncr Phone _j��=�-�-.c�,� <br /> p0 NOT WRITC BELAW THIS LINE-FOR CITY USE O:ILY <br /> �_tc :_^--:c8 U:,e Zone - — <br /> r: �; •-,,,� Fire Zone <br /> Pl�n :..� L. .._ <br /> Valuation Occuoancy Group <br /> Type of Constzuction <br /> Pernit Fee � <br /> Plan Chec1: Fee <br /> Occupant.Load <br /> Total r^ee Due , Sprinklers Required ' <br /> natc Tssucd , CITY OF EVERETT <br /> APPROVED FOZ [3UILDIP�G PERf�111 <br /> Date By <br />