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,• . { . . • • 10ILDING PERMIT 11PPL2GTION • •. .'.�y«��
<br /> � � ; • • � : � �pplicant To Caapleta Thi9 :orm . � . ' ����-S �` -�
<br /> .�/Y .
<br /> � , , � _[ �ore than one buildinq ia to be eontructed, subn�i! a aeparale �ermit appl�eb-��y
<br /> ' . .• ; tlon for each buildin J► sep ata pesmit will be issued Eor �ach building.
<br /> > '/
<br /> � '� Onn�t Cvf 2 � L Dnildinq Address � ///�P �U r T"7"�, :
<br /> ;� : ' . �Edrass �.-« Lo! �9-f�G'-9/ � alock � 7� �
<br /> ,.. : s . .
<br /> '',;. . �� CitY�z.-.T� Phone � aabdivision (Plat) � �u�.2.f_��- . -.
<br /> a . •
<br /> � • • ' . .
<br /> - �chitect/inqineer
<br /> , :
<br /> • ••': a� 'Cltp . lbonR ll�tas i Bounds IOnplatted) . _ .
<br /> �` ;,' Oootracios � Jei��r..J 7_7n/�vY 25;0 •n� - �c. 'iMp. . Rqa .
<br /> ' . �_?.. ..�• �ddsass '`i�l�. 1�a,� �T— • . . . `.
<br /> • �ij. C[tr ��R�e,StliL�z Phona ,5�5-il3 snsiaiay nse ' • • ;_z,:�•:':,',.
<br /> ' �• �� .�1.: ♦ •:.. . . � •�^`. ;�M�� ..
<br /> ��• �4I
<br /> �• :;. �'j �� itat�,License N�ber ,Ti'o z� T_ Deseriba work to ee Done' `' `
<br /> . � •
<br /> � �;�. sapisation Data c- 5 • � • :.
<br /> •.;• , . . . .
<br /> t\: i • , �R'CR PLOT PLAN BELOW' • �
<br /> . ' • j. :� • , .. . .• .. . ,. � � IIs� of Buildiag � .
<br /> �. i . • . , •~ �ilav O1lddition �ePair/Reaaiel .
<br /> , • :.,.�' • • : . . . � , . . . � . � ;/'J�O• �-° •
<br /> �.- Valnation of Construction
<br /> i . ' :
<br /> r,� i .. . . .,L'� .� lLOT P7J1N REQOIREI�IENTS : - '.
<br /> -� • . , � . � . . • '•+
<br /> ' • !� , � �:.;:�� • . • • ' Iadicate lot size, name of streeta, �
<br /> •� +.' .' • - ' � - • ' + •;ndicate location and width of
<br /> . •'' ..� � • _ .i'.: �� _ ` • ':i..•' �_� - alleys, locate pronosed and all �
<br /> . •• :•• .. ' � `.� ' • - .� ' � �cistinq buildinqs, show distances
<br /> . '1'� ' '�+ •'�--,•� . • . - :�., � ' r • to property lines, show distances
<br /> - ... . .
<br /> t� . • � ' . • beiween buildings. . .•
<br /> � .�, . � ' � • ' � . . 7At size x :
<br /> .'s=� a , . Lot area Sq. Ft.
<br /> � . .� . . .. Sise of 8 q. Sq. Ft.
<br /> . �� r• •• ' '. �umber of S ries
<br /> :: . i • , � . . � . , 9asement
<br /> �i:.. . . .
<br /> �•..' � Siqned By
<br /> ' � • • , :' . ' " ' . ' . � ' � . . .
<br /> . , tor
<br /> . �. . '. . ' � � ' . n , P one �
<br /> - ' ' DO NOT k':tIT � 85LOt! THIS LI:IE-FOR CITY USE ONLY �� .
<br /> — . .— Date Received � \� � Ds•e 2one • �
<br /> . ' Plan•Chee� :7ucber ` Fize 2one " �
<br /> �� • •
<br /> Valnation � !S �O Occuoancy Group .
<br /> ' lesnit' Fee � S- �� ' Sype of Construction ' _
<br /> . , ' ZLn Check Fee " Occupant' Laad • . � �
<br /> , Total Fee Due � 5, �� Sprinklcrs Required ' . �. ''�
<br /> `T
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<br /> . : • Date Issued� '�' ZS '` • '� . .� . ' .; •. CITY. OF� EVERETT • '::
<br /> ti •• �� .�APPRQUED FOFi BUILDING PERMIY . :';
<br /> ' . ..• . , ' Y . �5y, �. ✓.
<br /> .� • • ,• . , �. , . . . .. ' . . • • DOte �2 �72rBY.�`�. � . .':
<br /> , . . .' . • . ' . . . _ ,-,�
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