Laserfiche WebLink
d <br /> `''- � — . -' .- . . ' - - -. . .. . -- ' -- �- '-- '.. _ . . . . - '_"' �. _--... . :+�� <br /> p . • BUILDING PERMIT APPLICATION / ���.7 � <br /> Applicant To Complete This ^orm <br /> 2f more than one buildin is to be contruct�=d, submit a se arate ` ��/� <br /> r 4 p permit applica- <br /> tion for each buildinq. A sepaOrate permit will be issued for each �;lding. <br /> � Ormer �,D��Q`��J(�l �?X'..�ti A_�idinq Address �� 3a, �_• � �Q��,,,�C` <br /> Address ����� �� . ���� ,�� . Lpt_ Block <br /> City 4'L� ` Phone �l"�4� Subdivision (Plat) <br /> Architect/ nqineer � � <br /> City � _Phone \ Metes s Bounds (Unplatted) <br /> Cantractor Sec. �IWp, Rge � <br /> Aaaress EVERETT Bliil.:�ERS, INC. • <br /> 3 43b-4969 ` <br /> City 6����_ Building Use ' <br /> State Licen������• ��DATIONS Describe work to se Done ��X �J ' <br /> Expiration Date ��.L��;� ��h"1 , ��,�� � � <br /> ' V I \ <br /> SItETCH PLOT PLAN BELOW ��-�-�- v - <br /> _ Use of Buildi g � <br /> • ❑New ❑ Addition �Repair/Remodel <br /> , � � ' Valaation of Construction $37on,C� ' <br /> ' • PLOT PLAN REQUIREbfENTS . . , <br /> Indicate lot si:.e, name of streets, <br /> � � ' - indicate location and width of <br /> _ . � alleys, locate nr000sed and all <br /> existing buildings„show distances <br /> + � � to property lines, show distances <br /> between buildings. <br /> , Lot size x <br /> � Lot area Sq. Ft. � <br /> • � Size of Bldg. Sq. Ft. <br /> Number o: Sto{�ies t <br /> - . Basemer.t <br /> � <br /> Si n � <br /> ��� ! <br /> For �(�-�.�_-�� � <br /> �Ourner Phone - � � , <br /> I <br /> DO NOT tPR2TG DELO{� THIS LINE-FOR CITY USS Ot:LY � <br /> I <br /> Date ?:aceicec' 7i� U:e �one � Zi 5�j`y{�/�,v �/(�H ! <br /> Plan Check �iunber 7 'rJ �'vCCU/ Fire 2one �� ' � <br /> Valuation�� ��� CU Occuoancy Group 1 <br /> Pemit Fee 2� �� Type of Construction �� ti� � <br /> Plan Check Fee ��. �� Occupant Load . I <br /> Total Fee Due � <br /> �_ Sprinklers Required <br /> � <br /> Datc Issued CITI' l'I 1 '"= ^.:TT � <br /> APPROVED r-��;: �1"�,!_ �I� :;_� _ �.,: ,�T � <br /> D�t� , q �aq ��.— � C � <br /> i <br /> I <br />