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�;�56 - i� <br /> CUILDING PEI2MIT APPLICATION ��,.(,S <br /> Applicant To Complete This Form <br /> ��'i'�6 <br /> IE more than one building is tc �e constructed, submit a separate permit ap- <br /> plication for each huilding. A sepaYate pezmit will be issued for each build- <br /> ing. , � <br /> Owner �d Adrtan _ Buildinq Address2f115 C�lbv (t;ara�e) <br /> nddress Z017 Colby Ave. Lot Blk. Sec. <br /> City tverett phone 252-3153 Twp, gge, <br /> ArchitecL N1A Subdivision (Plat) <br /> City Phone Metes & IIounds (Unplatted) , <br /> ' Contractor Riverside Roof Com �.iny <br /> Address 1522 Walnut Ave. <br /> City � EveretC Phone 252-7950 Building Use GaraAr ' <br /> State License NumUer 223-02 Deccribe 14ork to 33e Done ' <br /> over <br /> Expiration Date 10-10-76 Reroof/exi.sCinr roof hoc huilt u;� roof <br /> Use oP I3uilding <br /> _New Addition Repair/Pemodel <br /> Valuation of Construction $ 567.00 <br /> PIAT PLNI <br /> � . . L�dicate lot size, name of streets, <br /> indicate location and width of <br /> alleys, locate proposed and all <br /> existing bui]dings, shov� distances <br /> _ to property lines, show distances <br /> �. � , betoreen buildings. <br /> Lot size x <br /> Lot area S.I'. <br /> Size of uldg. S.P. <br /> � Number of Stor�_es <br /> lla�ement <br /> Use 2one <br /> - ' Signed by � <br /> ' . For Riverside Roo.. Cn��.,�any � <br /> Owner <br /> • . <br /> UO 1JOT Y7RITE I7tiLOSQ TI32S LINE-POR L'ZTY USC ONLY <br /> , Uate�Neceived (� Fire 2one � <br /> Plan Check Numb� Type of Construction <br /> Valu3�:ion 5�0�, OC� Occupancy Group <br /> Pennit I'ee Co � �� Occupant Load <br /> • Plan Check Fee Sprinklers Required __ <br /> .Total I'ee Due �o • � ' <br /> Permit• Number <br /> DaCe Issued � <br /> APpROVED FOR [3UILDING pERMIT <br /> . Daic —_GY------ <br />