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<br /> . .. . • $UZLDItiG FL7MST APCLICATZON - . ,::� ,�'"•, . .�.j
<br /> � :• - 3lpp11canC To Complete This Sori �i J/� � ,• • ,/.•,,,.�
<br /> � . - , .J/°/'�.1•:
<br /> • • ' . Yf cu : than one Uuildinq is to be contrvcted, submit a separate permit• applica-
<br /> , . , ��!A1 :.OL esch buildi�g. .l sepaz�ate permit ti�ill bc issued for each building.
<br /> ' -� / r � . � .
<br /> • • py��z j-, , � - ti �c�ildinq nddress I li-'Z� k'GS � r •yiE .
<br /> • �
<br /> � � � , lddress /;� �/G �>-' ��' ,._. L°t �� �� ' Block _ 7 __ .
<br /> � � � �;�y ��,i,..�.-� Phone �' � � ' ��` Subdi4ision (Plak) Beverly Viehland •
<br /> ` • Architect/Engineer • Div___j�l • •
<br /> •. � ''� , City • Phone Metes L Dound, (Unplattedl � �
<br /> _ ', ' �:i•: Coatractor Jones, Jonee k Jones ' Sec. 1Wp. Rge � +
<br /> - � ' . . ,
<br /> `' ' ;•.'." �3dress 10403 - 7th „ ,
<br /> � 0824 guildin Dse Dtiellin� � • ` '
<br /> '�: City Everett Fhone 355- s �`���-.
<br /> � ��i � Sta!e,License Na�her ?ai_c;t-169�3 ____ Daserib� WorY, to Ae Done , •�'` ~
<br /> - � . �NeN Cor,etructiori '
<br /> • :� j Er�irat:on natE 6-19-76.
<br /> � ��' ' • ' SP.ETCH PLOT PLA!I 3ELOf�7� ' - �
<br /> � �; •. � ' •• . ' . • � Ose of Suilding Private dwellin�
<br /> ti, ' ` 1 • - • ' ' ' , � �New ❑ I+ddition Q Repair/Remo�el
<br /> _ : , '! i� (yC_,.
<br /> ' ' � •'• � � � � �� ' Valuation of Constructien $�"'-�`��� '
<br /> ' !. . ' .. . .. � .� � �
<br /> •'- . •�, P e .. ; - � . .. � .- ,.. ..' ' , _ PLUT PLA.N REQOIBE.`SENTS • : :_; .
<br /> M � ' . � ' I � . ' �
<br /> Q ' • � .
<br /> • y , , . � . • � • xnclicate lot size, nane of stre�ts,
<br /> .� � _ �
<br /> �� . . - . . • 'indicate locati.on and width o:
<br /> ' .� � � ( � . •• ' _ '_ . � • nllcys, locate proposed aad all
<br /> , ;.' ' - ". . �� � existing buildi:gs, shc:a d:stances
<br /> � �',1 . ' :., : ,_ .� . : � , .���: � , . fco property lines, show distances
<br /> • . ; . :.Q � • . • , betHeen buildings. • .
<br /> .. e. � _. . •
<br /> . - . . . Lot size 106 x_�,00
<br /> � . � . �
<br /> � .. . . Tat arca 10 ci06. Sq. Ft.
<br /> � .•. . . � � . � .. � ' � . . Sizc of Bld�110T Sa. Ft. �
<br /> �f r•' � ' . ' , � Number o£ Stoties 1
<br /> • '.: .i� ' • Aa�eme.nt q . �o
<br /> i.. . `�
<br /> . . Signed Ey X
<br /> '-� _:'` . . . . � � T
<br /> '" - . • . • ' .� . BOP
<br /> ' ' . � � • Owner Phone
<br /> ' � DO NOT F:2T_T£ tJ�LOF! TIiT� I.I:7E-POR CI'PY USE OiiL'L � �
<br /> -• _.. � ., �� � ' ' ,�'--��;<�.r;�F �?1-�vr LQ'-�.
<br /> Dxte ':cceivr_d � Uce• Z�.ne
<br /> ' -,- i ' Fire 2one � �
<br /> ' Plan C:icc;: :1m.Ser %L ' /f�L `-�
<br /> . Valua:ion ����'- Q ��,__ Occuc�ancy Grou�
<br /> I`crnit Fce � :.'�• � f� ' Type �f Construction
<br /> . . , �,�� '
<br /> Plzn Checl: Fca !�� - �c,r�� Occupant Load _
<br /> , � Rbta1 Pee Gue �! Sprinl:lcrs Required � .
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<br /> Da[r. Sssucd __�_..r .. • : . , .
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