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. i � ' BOZLDING PEAMIT APPLICATION , / •';j <br /> -- . �►pplicant To Complete This :ozm ��/� j��: • <br /> . . . . ������� <br /> • • If more than one buildinq is to be contructed, submit a separat� permi a p ca- <br /> . , tien for each building. A separate permit will be issued for each building. <br /> , - ' Ovner L-�Vn1� I dV .�t"�I�1NS Suildinq Address o<�`�� F�f<'C'-�'T l�/L'ili l,/�'. <br /> ' 1lddress ��). ,�C7�' 0'7767 Let.1L,_ Block ' <br /> • City � EI2�T _ Bh��ne���5od Subdivisio;i (Plat) v/7�CL @� ��GLL� • <br /> ' • l�zchitect/enqineer �YVI►°RP5)7dFU t7erIGN � <br /> • '• `"� City CV��'��T Phone ���3r��d Metes i IIounds (Unplatted) ; <br /> _ _ -� . <br /> � Coatzactor C/Zfl Nn�' l�(»yL�S _ Sec. 7Wo.__ Rge <br /> , '' , . . <br /> . . , 7lddress P� C�?C 2 7 G 7 . <br /> - - � <br /> � City l�]/�YLI°!'-I Phone s,��'6�3� D Building Use 1��5'%/1ti�At J'i.t}l�:. :': ��. . <br /> ^� State License Ni:mber �`�� L� �7�3�S' �scribe Work to Be Done . ' <br /> ri . <br /> • . 'I Expiration nat� �/ � " �G' <br /> ,� � � � SRETCH PLOT PLAN BELOW� ' � � <br /> • . ' ! � � IIse of Huilding <br /> -, � : � Fi . :' . • ' . . ew ❑ Addition Q Repair/Rema;:e o: . <br /> � � ' � ' � ' 'Valuation of Construction $��U d O <br /> • .. r•r �. . <br /> 'e . � . P7AT PLAN REQUZ2G`lENTS . . <br /> �.. • .. . � � • ' . <br /> ' • • , Indicate lot size, name of streets, <br /> ` � ' • ' indicate location ar.d width o:' <br /> • , � ;;�yf� alleys, locate �r000sed aad all - <br /> � �F� _ _ ._ ,� . . • /ILl tolpropertylliness•show��distancee� <br /> . . �'� between buildings. <br /> ` ` • � • _ 7� X ! � <br /> ' . . Lot size <br /> • ; Lot area Sq. Pt. <br /> �' . � Size of Bldg. ^ ,� Sq. Ft. <br /> ' •�• � Number of Storie� � _ <br /> < ; . P <br /> . .. . i . .,L <br /> Hasement <br /> •:. ._ - �SFI Siqned By `�G• // ��1'r <br /> , � ,� l�Fr <br /> � For <br /> • - Qwner Ptione ' <br /> ���5/r �J `� �r! v � . <br /> • DO :IOT {y:i?T� B�LO(�7 THIS LINE-20R CITY US8 02IL'1 <br /> � � ��� i ' <br /> Date S�ceived �P//Zi�_ Uce Zone IZ — 1 <br /> _ �— /"7 <br /> � Plan Caec:: :7ur.�Ser ��J -Z +� Fire Zone 3 <br /> � B� Occuoancp Grou� .L <br /> Valna:ion � ��• <br /> peroit Fce ��� �� _ TYPe of Construction �_� • <br /> Plan Check Fee <br /> rj� �� Occupant Load <br /> ("�'G �� Sprinklers Required <br /> , : Total Fee Due . . <br /> Datc Zssucd ti . , . , C1T1' 0! EVERET� . <br /> • • ' • • APPROVcD FOR �UILDING PERMIT • <br /> ' . ' • pate � ��. ^I� By v ��---'� • <br />