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� � Applica^c 'ro cor:plece lnis _ouu /���//3/� <br /> If more than one buildinq ia to be contzucted, submit a separate permit applica- <br /> Lion for ea buildinq. A sepazate permit will be issucd °c: each building. � <br /> �e= ��,��,�,���' ,_� Huildinq Addzess � /�c! ��'�`���J i <br /> / <br /> Address (v Lot Block � y <br /> � ����� � <br /> City �-r�/ Phone � Subdivision (Plat) � c � <br /> Architect/Engineer _ � �� — � <br /> City Phone Metes b Bounds (Unplatted) ( <br /> �' �Contcactor � c `�3� Sec.�_ '�P• z � RQe <br /> F3dress � /��� � . <br /> City ti��j��= Phone ?�FZ-> >/ Suildinq Use ��� _ <br /> State License Nam�et 2Z 3 -/% �-� �i-5� Desczibe Wozic to Be Done <br /> Gxpization Date �� <br /> �- �-�� ��� �"� <br /> " q,� d0� <br /> �PF.TCH PLOT PLA:7 B£iD:i ' <br /> � Dse Huilding <br /> �jNew ❑ Addition ❑ Aepair/RemoCi� <br /> i � <br /> valuation of Consttuclion 'v� <br /> , . YIAT PLN7 REQUIREF1EtiTS - <br /> Tndicate lot size, name of streets, <br /> indicate location aid width of � <br /> allcye, lecate proposed and all 1 <br /> er.isting buildinqs, �how dista�ces , <br /> , � to property lines, show distances � <br /> between buSldings. <br /> Lot size _ X ' <br /> ' Lot area Sq. Ft. <br /> Size of Blag. Sq. Ft. <br /> • t,u:�ber of Staries <br /> ''=c.^..cr.t •�•_--- - <br /> Sic-.c.9 By _. <br /> / <br /> tUI - <br /> � Owncr Phone _ _ <br /> �r, �;�^ ;.';I�-. ^-?�}'.� ;'IIS i,I:E-FOR CITY USE O:ILY <br /> �.•_r ^-c�i•:a,+=--��--._._.------- U.e Zone �'�7��iti4- ��f' <br /> ?l�n C.`.ec% `tc'`-- _ _, Fire 2one # 7i — - <br /> Valuation Occugancy Group <br /> Femit Fee Type of Construction <br /> Plan Chec1: Fee Occupant Load —_---- <br /> ToY.al Fee Due _,_ _ Sprinklers Rrquired �_____ <br /> o,,�c rssued CITY dF EVFREiT <br /> APPROVEb fOR CUILGI�". " i ' <br /> �� C'L��'-� /— �y7 S � l"'�'�74' _- :. _ ._ -- <br /> Date � ' _F3; - <br />