Laserfiche WebLink
• BUILDING PERMIT APPLICATION <br />•-'-"' <br />Applicant To Complete This rorm <br />zf more than one building is to be contructed, submit <br />a separate permit applica--'.. i• <br />building.:. <br />tion for buildi::c. A separate permit will be issued for each <br />• ,e'ach <br />N' F -u. C. frr• Building Address /f'12 FCC• <br />owner <br />IV114 .G <br />�r Lot <br />Ad3ress�7��IrI�(F� ---.�.�,_,. �c"( <br />Block <br />City L? Phone L 'c�7 0 Subdivision <br />(Plat) <br />llA <br />A chitect/EngineerT'rfl!-/[q;//'(ILS�C•�f%•/Y ''�:/�. <br />��,-,(7 ��t 6?— (�l t Metes 5 Bounds (Unplatted) <br />City . , Phone ! 1- <br />// <br />j� /f//� CC.UST �? sec. �F^ <br />� ' Rge <br />Tw�•�.. �_. <br />Contractor <br />Lr " L ''3 <br />Address <br />V'w * <br />�!r Phone l� - �r %r'� i`> Building Use <br />City l_.., <br />:' Describe Work to Be Done <br />State License Number71 [ ,^h�' 9ar.a <br />Cr <br />- <br />Expiration Date <br />SKETCH PLOT PLAN BELOW <br />Use of Building <br />New [IAddition ❑ Repair/Remodel <br />Valuation of Construction $� <br />__ _------'y - PLOT PLAN REQUIREMENTS ....: <br />Indicate lot size, name of streets, <br />indicate location and width of <br />alleys, locate proposed and all <br />existing buildings „show distances <br />.a to property lines, show distances <br />between buildings. <br />Lot size x <br />?� �0 Lot area Sq. Ft. <br />Size Bldg. Sq. Ft. <br />I� Number of Stogies <br />:. �`` • Basemenen t <br />r ,,t <br />Signed By / Lt,te. • ,�/�/�'�'( ' . � <br />owner Phone <br />DO NOT WRITE BELOW THIS LINE -FOR CITY USE ONLY <br />Date-aceived � '� U:e Zone C <br />Plan Check Number 2 1�11-I(�� Fire Zone 3 <br />Valuation ( 1 occupancy Group Z Ar <br />Permit Fee Type of Construction <br />Plan check Fee occupant Load - <br />Total Fee Due Sprinklers Required_ <br />Date Issued CITY OF EVERETT <br />APPROVED FOR BUILDING PERMIT <br />Datc t1 <br />