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� <br />� <br /> l <br />' � --- — _.. . ...a <br /> -_. - ----- - - - - -� -- -. .. _.. . -- - -- _ _ <br />, _ �� �,j : <br /> �. BUZLDING PERMIT APPLICTTION �� C, _ � ••� <br />� � ' Applicant To Complet� This ?orm �//.2G/7S' � <br /> If more than one bnilding is to be contructed, submit a separate permit applica- <br /> tion for each buildina. �1 separate, permit will 5e issued for each building. <br /> Owner �,L� \'� . �4��IT t,lNlv��I euildinq Address �;,cii �il��`A�l��t <br /> � <br /> Addrrss "��C I t�+YL u A U1�,'A-�� Lot �'� � Slock 7 q(- <br />. �Q City l== �'�t��4� Phone Subdivision (Plat) ��.'4�'4 7T LH�(/7 !�� <br /> r�Y''+ <br /> � k Architect/Engineer (.utuir_J .Ni Scn.ld.l�{% / � ADDn/. <br /> z `;�. - <br /> , � � `. City �V�1L`r.l r Phone 2�F ��17 �� Metes S Sonnds (Unplatted) <br /> _;_ �,,� '. � <br /> - v� �.�.. Contractor I��EWL-F�I�IO (01�1 S� (G. I�C.Sec. 7�_ TWP. 7-`/ Rge . <br /> �� � .: - Addzess '�� C�2 1�1LL S 1 /y,';t1 !/;�jC - %�G ' C�/ - OCc ) ' <br /> ����'- City �-U r124�� Phone Z� -�1 � �� Suilding Use C'rtiti��»,:�ic t R�� � <br />� � State License Number �L�, O � �\_�('^'-- Describe Work to Be Done NEL� <br /> Expiration oate �"1 ck RDO �t�l � 1 ^�,�T , 1�4tu 0 i�`� �-- <br /> SRETCH PLOT LAN BELOW . � <br /> Use of Building ��>.o.r<+.v���l+� <br /> � �Icc,�.— . <br /> . - �New �. Addition �'Repair/P.emodel <br /> ;. . . ,, � " Valuation of Construction $ 5z� <br />� �, �" :- I .. . � , � - • PIAT PLAN REQDIREMENTS � : <br />� <br /> . � � Indicate lot size, name of streets, <br /> - � indicate lncation aad width of <br /> � alleys, locate proposed and all <br /> � existing buildings, .show distances <br />� � �� . to property lines, show distances <br /> • between buildings. <br /> Lot size X <br /> �1,, . . � • Lot area Sq. Ft. � I <br /> j� I Size of Bldg. Sq. Ft. <br /> � ' � Number of stoFies ; <br /> r <br /> ' I Basenent i <br /> w. t i � . ! <br /> �'�� �:� . � Signed By � 4�'41e � �`>�ti� c(r-� � <br /> �.�`1 .�.9!''. .. i <br />� For � <br /> Owner Phone <br /> I <br /> DO NOT WRITG IIELOSJ THIS LINE-FOR CITY USE Ot7LY � � <br /> �ate 'xeive3 �/��75� U_e zone �1��+'�wnl-" LT. Mi='ti� i <br />' Plan ChecY. "lumber 7J�`�f-�� Fire Zone Z � <br /> �U <br />� Valuation �Z. �. � Occunancy Group 1-' - 7 � <br /> �vG <br />� Pen�it Fee � �� Type of Construction �( — 1 N 12 . <br /> Plan Checl: Fee � ��b 45' Occupant Load 3c� ( <br /> ' .... i .en n e� �j�� �� S q � <br /> Total Fee Due -'"'*�'� � prinklers Re uired _ �� <br /> Date Iss�ed ��?�� �7 � CITY Of EVERETT <br /> APPROVED FOR DUILUING PERMIT <br />� Date11.�J_51?�_By k. r . ' <br />