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iI <br /> 1 <br /> T • • ' . � . <br /> . , • I3UILDING PERh1IT APPLICA•PION • • � /� I <br /> ' � � ' • ' /� Q <br /> �,;; _._ ' ' AP�:2icar.t T� Comi�l.eL•c Tl:a: lox:� � � ` �/�� . i <br /> / <br /> , I£ moze thari one building i,' to be constructec9, submit a separ.ate rcr.mi.t � <br /> application for each building. A sepsrate pei'miL• wi.11 be isc ecl f ' agh <br /> building. / ��f'� <br /> Ovmer _ • IIuildinq nddress (���- / <br /> Address Lot i31oc1: <br /> City � Phone Subdiyision (Plat) - � - <br /> ,, . , / <br /> Archi:ect/Engir:eer ,�-. ,--.. r�,_ , -:- - . � <br /> City • 1'hone Metes & IIounds (Unpla�ted) � <br /> Contr�ctor " Sec. T���n. "� Rge. <br /> Addre.�s - <br /> City Phone " , 7 >.a�, • <br /> Sta:e Lice�se humber n � <br /> Er.piretion Date '.� �% !� :� v <br /> • • ' Building Usc <br /> • � Describe Y:or}: to IIe Done � <br /> CO1F�._= PLOP PLA1! O:Q REVETSE SID:: -f � ;• � � '• � • , <br /> Number of Stories "� <br /> . . Basement '., __ <br /> ' . ' •• i,Ter� .' Addition Repaxr./Rer,iodel' <br /> , . . . � ' . Valuation of Consiruction $ i' :�. " - <br /> . , � Signed IIy .,� ��. , <br /> . For <br /> Owner Pho»e <br /> • Do liot tVritc Below This Linc -ror City U�c OnlY � _ <br /> Datc Reccived � " ' " . � � Use Sone ' • <br /> Iflan C;�ecl: tdumber ' • . Fira Zone 3 <br /> Valu�tion ' • Occupancy •Group � <br /> Pernit Fee '•' � ��� . Type of Con�truction j( - i�t _ • <br /> Plan Cl�eck fce ' ' Occupant Load <br /> Total Fee Duc Sprinlcicrs r��nuir�a -- <br /> DdtC IJJUCC� . • <br /> • • CITY OF �VERETT <br /> • . . . .• APpROVED• �p� �UILDINu ptRMl7 <br /> � •• �te � 2 " 'il-- Ry I`.`_' ^----, <br />� <br /> I <br />