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. � , /` : <br /> BUILDING PERh1IT APPLICATION � � 3,(�' •'j <br /> Applicant To Completc This ^orm �/�7/ <br /> 7S� <br /> If more than one buildinq is to be contructed, submit a separate pernit applica- <br /> tion for each building. �1/separate permit Will be issued for each building. <br /> Owner (�/T�/�y-)1 P 1 %tl/1���� � S ��1�Buildinq Address � ���,!�ci�?n'-:'u.�,�� <br /> Address �/� � �J� � Lot 5� ?� Block <br /> City L `l��l(/D Phone �� Y� Oi'(5 Subdivision (Piat) • <br /> Architect/Engineer � �� 7 � <br /> City Phone Metes Bounds (Unplatted) <br /> Contractor ���' �(��(�/ ,1//D�l r'S c�{'�,r�(? Sec. '1�'P•_ R9e - � <br /> Address <br /> City Phone "" - U/�S Building Use _ <br /> State License Number Describe Work to Be Done � <br /> Expiration Date <br /> SRETCH PLOT PI.AN BELOfP — <br /> 11 �� �o Use of Building _ <br /> i t � �New � Addition ❑ Repair/Remonal <br /> --�1------ <br /> Inll � Valuation of Construction $ <br /> "V" ,� <br /> J' - PLOT PLAN R£QUIREI�tE�TS : <br /> li„-Y,f� • Indicate lot ,size, name of streets, <br /> '---"--' indicate location and width of <br /> � ;7'•�" � alleys, lccate proposed �nd all <br /> ^ existing buildings, show distance.; <br /> o� � � p i� to propezty lines, show distances <br /> ;, � ;; '? between buildings. S <br /> � <br /> � — a�,c•, ' ' • 3 <br /> � .---i 9 I Lot size �I `�i x �O g ' <br /> u'i � <br /> I � �'n" Lot area Sq. Ft. <br /> � I �� i Size of Bldg. �/�/O Sa. Ft. <br /> �'---�� �"'��� Number of Stories ' <br /> �x n , I <br /> � ����; c�l Hase:^cr.t � � � <br /> ' / <br /> � � - - <br /> .�--- Signed By ����`iC � �� � � � <br /> i � AbA4� �_"_ � <br /> ��� FOT � <br /> -- ,r,it' � ��D, Owncr Phone � <br /> I�A�Y�t J+�7� P � <br /> DO NOT I4RITB B�LON THIS LINE-FOR CITY USE O:ILY / ; ' <br /> ��,�(�I / �i.cH..c �T`.vi GOtJ <br /> �.to . :_e:sca �- �3 " ZJ 1`7�U�1� U:.e Zone � <br /> # <br /> P!an C.`.ec% `iL-:er Fire 2onc 3 � <br /> Valuation Occuoancy Group <br /> Pemit Fee Type of Construction � I <br /> Plan Checl: Fee Occupant.Load i <br /> Total Fee Dce Sprinklers Required � <br /> � oatc Issucd CITI' OF EVEF?ETT <br /> i APPROVED f01? C�'JILDIi�!G PER�,.�i � ' <br /> , ��������� � � <br /> � <br /> /'f[°` I y uate_l.,,�L�� By �; � -�x :_' (?. ��,� �_ <br />