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__'_ '—' .' — �y,/ t <br />BUILDING PERMIT APPLICATION / �/Y �O ,�,?�S <br />Applicant To Complete This ^orm /�/ � <br />If more than one buildinq is to be contructed, submit a separate permit app�ica <br />tion for each buildinq. A separate permit will be issued for each building. � <br />,�/i��� <br />Building Address �� ����� <br />� Owner <br />�t / `% slock �_ <br />Address --'-- /'hr � �"� <br />�j�,Q� Phone�_ Su�ivision (Plat) �� <br />City �_ <br />Architect/Engineer <br />City �_Phone Metes 6 Bounds (Unplatted) <br />� /� ��� RQe <br />Contractor � w��o>-r/ Sec. T"'p- <br />Addrees ///d � i5 �+ �-� � �"`"� - <br />,���,.�% Phone 3,�'/- /9-� $uilding Use ' <br />City�Jj�/� — � <br />�/ Describe Work to Be Don ✓ <br />State License Nw�ber �Zo2�'G/-// 7 <br />- .� L .�� �� �„a � _/ <br />Expiration Date S- /� % S <br />.:. <br />$KETCH PLOT PLAN BELOW <br />� • <br />D _te .. =ce't•: c? — <br />Plan �::e�: •���cer <br />Valuation <br />pemit Fee _ <br />Plan Checl: Fee _ <br />Total Fee Due _ <br />Datc Issue3 _ <br />Dse of Buildinq <br />❑New ❑ Addition Q Repair/Remodel <br />Valuation of Construction S ��� �— <br />PI.OT PLAN REQUIREb1ENT5 <br />Indicate lot,size, name of streets, <br />indicate location and width of <br />alleys, locate proposed and all <br />existing buildinqs, show distances <br />to property lines, show distances <br />betweer. buildings. <br />Lot size =� <br />Lot area �_ — Sq• Ft. <br />Size of Bldg. �� <br />Sq. Ft. <br />Number of Stories <br />9ase^er.t � <br />A Signed By L � ' ''�.L`'e""'" <br />I <br />S.n $�.=.� 7 <br />For <br />Owner Phone <br />USE ONLY <br />U:e Zone <br />Fire Zone <br />Occuoancy Group _ <br />Type of Construction <br />Occupant Load <br />' <br />� <br />i <br />Sprinklers Required � <br />CITY OF EVERfTT <br />APPROVED FQ^ QUIL��idG PE^;:'�I � <br />� �Z � XJ�..�.. /��✓�.�.t"i-' <br />Date QY <br />To w!'�Ruc"'(,ov-+S oa.a ouR `.�.-rYd� a� i�i3�'�7^ <br />