Laserfiche WebLink
Tpplic�r,t 'ro cenpiece inis :uc��� �0 / /'� ; <br /> � <br /> If more than one buildinR is to be contructed, subnit a separate permit applica- � <br /> tion for each b�iilding. ]1 separate permit �rill be issued °or eacii buil�ling. �a�/ <br /> O�mer �-, v � Buildinq F+ddress �iH'�1�� CnLL1=C�C /� 4 <br /> Address I �C1Af� � �-� �� Lot 3�_ Block j <br /> City �,(;�_ Phone Subdivision (Plat) �RI UIE�� �y�'�J1T"�5 i <br /> • ��.,� i <br /> Architect/Engineer <br /> 1 <br /> City Phone Metes b IIounds (Unplatted) ' <br /> ^ Rge � <br /> Contractor ( �,�T//J�N?A L �171d�C , Sec. '�P• <br /> . 1 <br /> : . Address /[0�17 1�(� 2�1 � - , ( <br /> Phonc 885-�29�I Buildinq Use � <br /> City � VE . � <br /> State Li.cense N r-_ Describe Wor;c to Be Done <br /> a�3 o I (�RS rf��.� K � Ri i� �o � -F I� R _ `�� � <br /> Expiration Date ��75 - _�� � <br /> SRETCfi PLOT PLI:] BEL�''7 <br /> Use of Building � <br /> �� ! <br /> ❑New � Addition ,LTRepair/Rer,.odel : <br /> � Oo . � <br /> Valuation of Construction $ " �� j <br /> � . ; PIAT PL71f1 REQUIRE.�IEtiTS • � <br /> Indicate lot ,size, name of streets, <br /> indicate location and wi�=h o' � <br /> alleys, locate procosed �nd a'_1 <br /> /� � � �� existing buildings, show distances : <br /> /�LI yV �� ;/O� '�! � 6rC , to proper`y lines, show dist�.,nces <br /> � � betwcen buildings. ' <br /> � <br /> Lot size X <br /> . ' Lot area Sq. Ft. <br /> Size of 91dq. Sq. Ft. <br /> • Nunber of Sto[ies <br /> � . °dSC:'C.^.0 <br /> Signcd By , <br /> For - <br /> • Owncr Pr,one ------- - <br /> DO NOT {9RITE 5ELOF7 'IEiIS LI:IE-FOR CITY USE O:ILY __ <br /> �a _=e: .od �a-�.�_7�_ U_e ;.orte - — <br /> tc <br /> �la^ `:`�; ,��_; _ Fire Zone <br /> Valuation occuoancy Grou� _ <br /> Pemit Fee Type of Con�truction ' <br /> plan Checl: Fee Occup�nt Load <br /> Total Fec Dcc _ , Sprinklers Required <br /> CITY OF EVERETT <br /> patc Issucd _— qppROVED FOR E3UILDIF:G PERNII i <br /> Date ay-----__—' <br />