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BUILDINC; PERMIT APPLICATION <br />Applicant To Completc Thie Form <br />I[ more than onc buildir:g is Co bc conetruetcd, nvbmit a ecparatc permit <br />applita[ion tor each buiitiing, .4 eeparate permit will be iseved for each <br />building. I <br />OwnezDaVld P. Stevens Building Addrees �917 L��nard Dr. <br />12 <br />L Addrees 1$j6 i��CD�uv21 Lo[�Q�,�_Block {',jOC1C fi <br />� <br />city Everett,9la. Phonc252-0149 suba:��eion (Plat) �;eady Land Compan's <br />Aschi[ect/Engineer ;.' .��!' � :�:' Fr; sr �dd it i onei to �verett <br />City LYL.�k� (� I i Phone. /(_ ?� �. l�etes & Bounde (Unplatted) <br />Contractor D.Y JtCVeRS L�O!t18 BU$ec._Twp._Range <br />Address 1$lti P:cllougal <br />City3verett Ph��52-O�L9 Buitai�g uae__{ome <br />Sta[e License Number �230131a35 Deecribe Work to be Done new home <br />Expiration Date 4-5-75 ,_ <br />TGH PLOT PLA:: B�LOW <br />q«� y <br />Uee of Building_ ynmP <br />_C7 New j] Addition �Repair/Remodel <br />Valuation of Construciion 5� f ��� <br />PLOT PLAN REQUIREMENTS <br />Indicate lot size, name of streets, <br />indicatc loca[ion and width of alleys, <br />locatc proposed and all cYisting <br />buildings, show distances to prop- <br />erty lines, show dis[ancee be[ween <br />buildinps. <br />Loteize37t_(j�� x 120� <br />Lot area LL50� Sq. F[. <br />Size of Bldg, 912 Sq, Ft. <br />Number of etoriee 1 <br />IIasement jQp <br />Signed Sy �'T�;,�-��t�,_ Date 9_9C_75 <br />\ � . �. � <br />For �/ ? C,� r���vt_ <br />. � "' Ownc; Phone � <br />L.� _.,ViJ.i o D/i, <br />DO NOT WRITE BLLOW THIS LTNE - FOR CITY USE ONLY <br />Date Received <br />Use Zone <br />Plan Check Number 1� - 1 Z�j Fire Zone <br />,•� <br />Va]vation � j �� J;• Occupancy <br />r <br />Permit Fee <br />.}� Typc of Cons[ruction <br />Plan Check Fce 7 i. JN _ Occupant Load <br />Total Fce Duc il 4. �%�-� Sprinklere Required_ <br />Datc Iseucd <br />