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/9/d'� <br />c/ � <br />, • I! more lhan one bui2dinq ie to be contructed, submit a separate permit applicfi '�J/-S <br />_ tion far ¢aats buildinq. A separate permit will be issued for each building. <br />, '' � i • . �� . . <br />. " Ovner �;f-!1-'r.;-,__-� ',.`_,,-,_� 8uildinq Address �J.Y�� �,�`�� . <br />_� • ' / -- <br />'. . �ddress 'i '���+f '/ �_, •i/ Y Lot %� `� elock / 'C . <br />, � ,� .. <br />' . T L�� ' ' . �_ .. ^ <br />CitY � z ��t -�.�%%�� Phone ='� �%'-1 "•; � -� '� (�� , <br />"� Subdivision (Plat) _j1�.'-�." � <br />j / <br />_ � �s'cltitect/Enqineer � .{.�-� � ,� �� , <br />: ' :� ".� City _�T hone� !letes s Bounds (Unplatted) • <br />i- . _�,,,. <br />; , Cmtractor � . s c _: ' gec. • ^ <br />: . . �. ,�; -� - '1VP. Age <br />� �ddress �; = `< <'- „ i � . i . r � . <br />- _ 1�'r �.��cr. -vj ./. : <br />�� /i✓ . <br />': �tY L - �'f Phone ' ` S-.S J � ' ' Snilding "�� � - � <br />4: '' c , _. '� - Dse r: .-„-�=� -.�ry�„`.;- <br />-�.' � State.License Number .'.� C -'%' . ,:,.. <br />� l` i!L Describe Work to He Done <br />: i L=pisation Dat� _% %�� �i' j — ' . �_ ���,_ ' <br />i� <br />��' '� � "SRETCEi PLOT PLAN BELOW� � • ' <br />� � . <br />� .! IIae of euildiaq i'�/_�,-� c_ � ' <br />+ . . + - ' .��, c: . . �. . '. <br />..' .• , �; � QNev ❑ Addition Q Repair/Remouel <br />• � � j . 'Valuation of Construction $ �r � y``",c_� � �' <br />"" • •, - �� �� � � - PLOT PLAN REQUI_REMENTS . . <br />.� . . . . . � . . . . � � � . . _ . <br />.� ! . <br />_?-: " ' . ' `� - ' - Indicate lot size, nane of streets, �� <br />� - ' ' ' �indieate location and width o: <br />' ' E .•. alleys, �cate nr000sed and all <br />. r_; _� _ , '' ' ' <br />- � existing buildinqs, shasa dis�ances <br />- - - + . ' f r.� ':, :� •��� ' : • - • to property lines, show distances <br />� 1 • ' . ; �� � ' - bet�reen buildinqs. <br />' i �' � �- _ _ - <br />� , _ . � � �L'� Lot size x <br />• •' ` 1 �� • _ Lot area Sq. Ft. <br />- r.. • ,I� • _ Site of 51dg. S. Ft. .. <br />. � L—' �1� 4 <br />- " • Number of Stories <br />. <br />`�! �i � . �,j Basement ' <br />-.r.. - - <br />, _ - __.� _ , � _ � �i � . <br />� : ; I �— Siqned By ;' t7.!. ;/�.t-_-�____'-- <br />. � � . . <br />_ •f. �:r :>..,. �:. , ��' <br />Foz <br />_ Owner Phone <br />� <br />,. , • <br />Date �:eceived �.�/� �'75� <br />Plan Chec:; :7ur.,Ser %S ^ /y Zi <br />valuation 9/Qdp. � <br />Pemit Fee 'SZ- �%� <br />Plan Check Fea � `li(o r60 <br />lbta2 Fee Du� - � . � <br />Date Issued �h' �-S� � <br />THIS <br />A::e Zone � _ L <br />Fire Zone 3 ' <br />Oecuoancy Grou� 7' <br />Type e�f Construction V i--i <br />Occupant Load <br />Sprinklers Required . <br />� • CITY OF EVERE <br />APPROVED FOR. BUILDING PERMIT � <br />Date � � <br />. -t���T B/ <br />