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. . .r . __.. _ . _ :=.P: ' r. <br /> BUILDI4G PER[�tIT APPLICATION /��J ��.� <br /> Applicant 'Co Camplete This ^orm /�� 'j'r <br /> 7 <br /> 1C�� <br /> If more than one building,,isepasatecF�r'�lt�wi}lsbbmissuedeforaeach�builling. I <br /> tion for each buildi q. 1 � �t <br /> /V <br /> .�// / py/ 1 �'< i c <br /> �,' Owner /�(.//'� /` /e• y /`✓DY�� `E." � auilding Add=�ess ,`? `X � u ., l-''ti2U-`9��j <br /> / � � Block <br /> Address ��� �� X J.54� Lot _�,_ <br /> City L1/9r/GdOn� Phone 77 o ' v��`5 Subdivision (p�t� � , <br /> � • '% /,��; r� .c. ��,�! <br /> Architect/Engineer <br /> City Phone Metes s Bounds (Unplatted) <br /> lv� ln�/ lY Sec. �'• �g� <br /> Contractor P ✓ � l)/i9�S � <br /> Address � <br /> City _ Phone �1'� �-�����5 Building Use <br /> State License Number Describe Work to Be Dene _. <br /> Expiration Date <br /> SICETCH PLOT PLAN flELOW . <br /> , Use of Building <br /> �.}.az_ _ __ '�INew ❑ Addition �7 Repair/Remodel <br /> -1---- '� <br /> �v Valuation of Construction S <br /> � y�� � : PI.J'1 YLT�N kEQUIREFIEHTS • <br /> 'r' �>�.". � -- Indicate lot size, name of streets, <br /> �! �ci indicate location and width of <br /> ll,• �f�_�_ • alleys, locate proposed �nd all <br /> �\ � .: �..fo� ° existing buildinqs, show 3istances <br /> ��� � - ; to property lines, show distances <br /> � Z � �i � � <br /> J � ' � . between buildings. <br /> ` y <br /> � �F � - � <br /> � `'�''0 ; Lot size X <br /> � � , � ?I ;�^_���'a°, - -, --�- '/ U .� sq. Fc. � <br /> � � � I Lot area !I Y - <br /> � _ :, Size of Bldq. �_ S4• Ft. ; <br /> � is�.n" ,., ' <br /> � I � Num6er of Stories � <br /> I 0� nase.^..e::t � � �. <br /> I 1 <br /> •r.. '", // �', �� �1 � �i � <br /> , <br /> � , � --• — I ','Si9ned By iJ ' .�� <br /> - ?---�-�,�� .r--� <br /> � � For <br /> O�.�ncr Phone . <br /> PANkViEW lLuD ' <br /> �0 NOT WRITS B�LOI'7 THIS LI:IE-FOR CITY USE O:ILY � <br /> � - � �j-�S ���, U_e Zone I SlydtlF� <br /> �_•� ^ ._e .�a � '3 <br /> 2Lan C:ec% `;cr=-- "-- <br /> Fire Zone <br /> Valuation _ Occunancy Group <br /> Type of Construction <br /> Perc�it Fee � � <br /> Occupant.Load i <br /> Plan Checl: Fee � <br /> Total Pe� ��e Sprinklers Required <br /> CITY OF EVEf?ETT <br /> oatc �ssucd qpPROVED FOR GUI!�!� !G P��'�'�� I v <br /> �._�. � 2 - �_���_QY ���_tt�"`�.�. <br /> � p �� �—�((y`75� Date�-- <br /> r� <br />