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• � HUILDING PERMIT APPLICATION j��/��� <br /> • Applicant To Complete This ^orm _K�/ <br /> If more than one buildinq is to be contructed, submit a separate permit app12��/7S <br /> tion for each building. A separate permlt will be issued for each buil3ing. <br /> Owner ri/f. . -� Building Address //�/L �� :ti� /%' <br /> r <br /> Address .S� O/ ��h o ; ! ,-,�.i-� Lot _��/- 3 � Block � <br /> City `i.� � ,�. � Phone3:�y- �S'/� Subdivision (Plat) �^ �+ �-� <br /> Architect/Enqineer /i. ,r.a'�� ;' r ,, ' <br /> � . <br /> City i: :�. Phone.S:c-3 �? : Metes 6 Hounds (Unplatted) <br /> Contractor ff��� ! i- d Y 'r� f Sec. 7M�p. Rge <br /> �aC8S5 ,�! r �r n^ _i '.�. <br /> � / , <br /> City ;` ! . r ' Phone .JS3� �/G S Buildinq Use � T n ::j/.rt • <br /> State License Number 7;3- ��� �7T 1- Describe Work to Be Done ' <br /> 1 r, .i <br /> Expiration Date :J � . , - `v T. / .-� r:o r 'r-� ��'�� �-e � — � <br /> SRETCH PLOT PI.AN BELOW "�/'�l . <br /> Oae of Buildinq <br /> • ❑New ❑ 1lddition L7 Repair/Remodel <br /> y,-y/ Valuation of Construction S 0 G�J, � <br /> � Nti' rrJ �^( , . <br /> � — - --- -.--- PLOT PLAti RE�UIREtdE:1T5 . . <br /> • Indicate lot size, name of streets, <br /> � indicate locetion and width of <br /> alleys, lacate proposed �nd all <br /> 1� existing buildings, show distances <br /> � � !o property lines, show distances <br /> r � • between buildinqs. <br /> ��ct r�^-� <br /> �` Lot size x <br /> �iay� � <br /> Lot area Sq. Ft. <br /> ' . �� Size of B q. Sq. et. <br /> , .:. <br /> _ Number of Stories ; <br /> - Ease.^..er.t <br /> � . � ! <br /> � Signed By �Y.� \-' , � � 'i C�." � <br /> � kor � � <br /> IOwner Phone I <br /> � DO NOT WRIT6 BELOW THIS LINE-FOR CITY USE O;ILY I <br /> I� �=tc . _ce:•:ca �—�0-7� U�e 2one _ � <br /> Plan :'.:ec% `7Lr�cr Fire Zone 4 ' <br /> Valuation Occuoancy Group F -L <br /> Pezx�it Fee Type of Construction I <br /> Plan Checl: Fee Occupant Load ' <br /> Total Fee Due Sprinklers Required � <br /> I Dacc tssucd CITY OF CV�RETT <br /> � APP"nOVED FOn ..i_' , t)ING PERMIT <br /> , Date2� ��z �ia� �y �. - ���� <br />