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� <br />.� • . • � .� ' � " ' .. . . HUILDING T'£t'tfIT TPPLICATION � � � . .� . .� ../.>..�,rI�y�: t .�� --. <br />_ •� . . : Ilpplicant To Completc This :orm ' /���`. , " . ' �F' <br />.. . ; . • . , %�^'�/�f <br />, • Sf morc than one buildinq is to bc contructed, submit a separatc permit applica- <br />.. tioa Eoz cach building. �1 separatr permit Nill bc issued Eor cach buildin9. <br />, �' Ovacr A�hnrit ,GnnrrYn IIuildinq Address � ii419 OlyIDl�ic . <br />. <br />• Mdress 64� � �l,yr.tpi.c y�t Hlock . <br />� ��� �.C,�)- ji-rlC � <br />. . � City E�Terett Phone ' �3->�1 > Subdibision (Plat) ! •�� i . `j �� ( ( (\ 1 t '. �. , <br />' Azchitect/Enqineer _ ' • ' � ' <br />_ • ✓ � ':f City • Phone IFetes G IIounds (Unplatted) ' : <br />;,•: Contractor ;,�fer�Ytt Iluilders: Ine. Sec. Twp. Rge � � <br />�� 3ddress 5606 L�, ergree 1•la,y . , ' ' <br />-• ;. .:. . <br />.. •J. «ty i:�rerett Phone 57�-7161 Building Use . ":;,� _:� �.: <br />� ��� • • • ''' <br />�'�j � State.License Picaber 2�3-01-1.1428� U.scribe Work to Be Oone �` � <br />� • :.�1 Erpiration Datz 2-1-�� f`utters, � <br />��' ' � • SFETCH PLOT PI,.12I IIELON� • . <br />_ ••;•'i .' .. .. , • . <br />. :� • . • IIce of Buildirig � <br />�� ' - ' ' , � � . „ �New ❑ hddition [�Repair/Remo::el <br />� � '';. � • � , • 'Va]uation o£ Const_uction S 700,00' <br />��• .. . I • ' <br />,,.,�� .. . .-.. . • � . , PIAi PLA27 REQUZf2Et•SE:ITS . , ' . <br />�, . . .. •�- � • �.i <br />� � . , . . . . . , <br />.. i • • ' • ' . ' � � ' Il��icatc lot sizc, nane of treets, <br />. •� • ' � ' ' •indi.cate location a: d �idth'of � <br />. � � • " i: - ,. _ . • alleys, locate �r000sed rd .'ill <br />. • :�� . � '_ -� ' ' : . - � • existing buildiagc: �he�.a�distances � <br />, i ... � �- `! _ . . •.''. . . t0 property lines, �show dist-ances <br />�. � � • � � ' - . betiveen buildinys. <br />� . . -; . . <br />. • . ��,' , : . . Lot size x — <br />;; , . � . <br />... s . • • . . Lot arca Sq. B't. <br />• r. _ . .. ... . ' � .Sizc of &ldg. Sa. Ft_ . <br />•i • . Fumber of Stozi.es <br />. • :; .'y � . ' � Dasement <br />r. . <br />'� _;'� Signed IIy — <br />�.- : . . ' ' Por <br />. . . . . ' Oo:r.cr Yhone ';�,y_'711�_ <br />..' � DO NPT St:i?T!S 9=LOF7 TIIIS T.NE-FOR Cl2Y USH 02IL'I � � <br />. Da[c ficcci.��ed � U�c� Zonc . <br />' Plan Chec;: `7ur.Ser ' ' Firc Zone " <br />Yaluation r��C��•C�0 Occunanr:y Gr.oup _ <br />Pcznit Pce /. � � � � -�ype of. ConsLruction � <br />Plan Check Fce Occup�nt Lo�d • <br />, � ibtal Fcc Du�= __ Gprinl:lcrs Requircd � <br />. . . � <br />Datc Sssucd . . . - <br />• . • � , . <br />