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-- � „ ! ' � HOILDING PERMIT APPLICATZON � � . � • �+ �:z`. <br /> .. . � . � Applicant To Completc This Form �' �"�� <br /> ����� .; <br /> , • • If more than one buildinq is to be contructed, submit a separate permit applica- ' <br /> . � tion for e buildinq. �� separate permit will bc issued for esch buildinq. <br /> • � � Owner � , �// <br /> , /--.�fL�"� Buildinq Address '�'z � <br /> .:�7. ' 7� <br /> , � ' . Mdress J Cc/ Lot .� .. . <br /> � � �a/ t'occ:� Slxk . <br /> City Phone � SzJ- 1 <br /> � 5`�/ Z Subdivision (Plat) ' <br /> _ ' - Lrchitect/Enqineer ' - <br /> _ ' '�• '"'� Cit . — . <br /> =� Y Phone Metes i Bounds (Unplatted) <br /> ` :, . Contractor �iQrii/� ��..4-'����` Sec. T,.p, _ R e . <br /> _ � ' : 1lddress L , g • <br /> � Cit °a �,`t-33qS" : <br /> Y �'f. ' ' � Phone % s" - • Building Use � <br /> .L; . . - � . . . . <br /> -, • �.'�:r:r. . <br /> "' ' �� State.License Ncmber �3-Ol- �/f 2 �scribe i]ork to Be Done `''4 � <br /> ; �I 8cpiration Dat� �� <br /> �� � � , � SRETCH PLOT PLAN BELOW' <br /> ; . . <br /> • . . � 1 . . �_ - <br /> : .j , ��. � Ose of Building • <br /> __ � � . ' : � <br /> ' -' ' . _ ' • . . <br /> - J�--�•-. _ . . . . , '�(New ❑ �ditlon ❑ Repair/Runo::el <br /> � , � • oaluation of Construction <br /> • � - I � ' . � .: <br /> .-•••.• � .. � . i � PLOT PI.AN REQUI?2E?ffi;ITS <br /> ; . . yi oo�_o� : . <br /> ; . . . <br /> '. i � .' � . Indicate lot size, nane of streets, <br /> . , j . �_ indicate location and widt!� of <br /> l•-� � j•`--� - - / . alleys, locate nroc osed a,d all , <br /> �, ,• . ;_ ,� .�� existing buildiags, sho:u distances <br /> . , . .� /� , to ro <br /> [�p jp � p perty lines, show distances <br /> ` ; _ �� ���'' betWeen buildings. <br /> • � i Lot size X <br /> .. � ,r- <br /> I.ot area Sq. Ft. <br /> ., •:. ' . �l � . Size of Bldg. _ S Ft. <br /> • (� �� Number of ries 4� <br /> . '.: . ; <br /> ;,. ' (/ • Basement <br /> , �- - <br /> � : � � Signed By <br /> ?4 .\'�- -- - • For i -- <br /> , � _ Owner Phone , <br /> �, �� DO :IOT 6;3IT.1'�. B=*,OF7 THIS LI:7E-r^OR CITY USE OiIL'L � <br /> Datc Seceived z�//�7 5" Uce Zone �-� Ji,�ii�L� i`-��,�j� <br /> Plan Chec .7 �^` • " y <br /> � k :lur..Se= - 7$ Z�/i� Fire Zone # � - <br /> '�alua�ion ¢��Lr�- � � Occuoancy Group <br /> . Femit Fee l��- ' � • <br /> � U Type of Construction <br /> P��n Check Fee �G• Occupant Load <br /> . ' � Total Fee Duce Z� �G ' <br /> . -7 Sprinklers Required <br /> Date Issued _ ! �7�/7� - • <br /> • • , . . � ; •CI7Y OF. EVERETT <br /> ; • ' :APPR�VE� FOR BUiLDING PERNIIT • <br /> ' Date -------�Y-----_---• . <br /> -c.; - <br />