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: � �3UT.TDT.WG P1:1�1•1I'J' APPLTCAT701� • ��'Cl- 7� <br /> ' � • /F 7 <br /> • npji].icant= 7'o Com��J.e1' = This 1 or.m � <br /> �l/� <br /> xf rnore ihan one bui..ldi.ng i ,� to be constructed, :�uUmit a sepa�'ai:c per.m�.t <br /> applicaLi.on fo�- each bui.lc:;.ng. A se.parate permi_L �oi.11 be is::uecl fo�- c,�ch <br /> Uui.lding. ) . <br /> Oornc�_,. ., /r-r� '��G'�./ti /:'<� IIui.ld3.ng Add�:ess /�.�n ' ' �.1i t,{ � _n„ = <br /> Rddress J�p`_� I � �+-r , _ ' � c_�.._ Lot �-S' 137.oc1: _ <br /> � � ,� t-i,-..r..�._, .� . <br /> City ; �� >.� , ; %! ��ff']ione �5 3-/S% i' Stil�diyi.s9.w� (P1aC) <br /> Architeci./1'snyineer �L�^.%�'`'� �,' . � � . Z'- <br /> City _ Phone idetes & 13ounds (Unp].eitted) <br /> Contractor :,:, � _- Sec. T�,+p. Rge. --- <br /> Address <br /> Ci.Cy Phone <br /> State Licensc l�umber ---- <br /> P>;pir.ztion DaLe — -- <br /> . . I3u9.lding Use ;_ — <br /> Describe Plorl: to 73e Dc�nc <br /> ,;�„ ,l •) , j . ,i c- �` , r <br /> C01-fl'L''�': PLOT PLR1d Oi� RI,VI31iSr SID� �� , <br /> ^ i.umber of Stories __ <br /> I3asement- ___,_, ., <br /> � . , hew 7�dditi.on J2epa�_r./Remodel� <br /> Valuation oi Construction $ <br /> y <br /> ,-�•' - <br /> . Signed ]3y . . <br /> Fo�� --- � <br /> Oti�:ner Phone _-- <br /> Do I?ot; 1•�ri.te 13e1.o�•: 'Plii s J�i.nc -17or Ci.L-y Use Or�]y ___ <br /> llaCe ];eccived ------ . iJse Sone , ' <br /> , <br /> lTlan C;iecl: i�umber ' I'ir:: 7,o�ic � _— <br /> Valuai�ion ' • Occupancy -G�'ouy) �_ <br /> 1'ennit I'ee Ty�)�e of Con3t�'ucL'ion �L- ti-t __ � - <br /> P1an Chec}: Fee OccupanL Load _ -- <br /> 7`oLal Fee llue ^ Spri.�il:7.cre: l:eyu.ir.ed `- . <br /> ll,�i:c Issucd ------- <br /> , . " CITY OF EVERETT <br /> • '.APPROVED FGR C3UILDING PfRMIT <br /> ' Date�� ��- _gy f�, C <br />