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, <br />_ � ti. =j <br />. : ,' <br />;t7 <br />-' ' yI <br />. �� <br />.� : :; <br />' ; ; <br />. ;4 <br />• <br />.�; <br />• <br />�� � <br />�. <br />. . . <br />• �7 <br />; <br />;.� <br />_ .� � <br />� , . <br />, , , .. 2 - <br />DOILDING PERMIT APPLICATION � � <br />. �pplicant To Complete This :orm / '�� `� '�' <br />i! more than one buildinq is to be ccntructed, su6mit a separate permit applica-y/�.�� <br />t'Son for each buildinq. A separate permit will be issued for each building. <br />Ormer � � 0-4��<--, euiidinq Address �''- 1� 7��y"`"` � 13""`� <br />3ddress %, / �'L ` 7�''`'"'�.�``3" ���'-�i Lot / Block ? �> . <br />City �.i? �''� � � phone 3 53=7-D �--L Subdivision (Plat) �o-t �r,w �c._�' <br />. 1 . <br />�schitect/Enqineer _ <br />City Phone Metes i Bounds (Unplatted) : <br />Coatractor � ���' Sec. �• R4e <br />lddress . • <br />�Q � <br />�ty Phone Building Use ���� : ".: -`��:. ;. <br />State License Number Describe Work to He Done `�`+ <br />Lzpiration Dat� <br />g10ETCH FLOT PLAN BELO[9 � ' <br />�,6+�IC.='(.�C7 � Y.�t_U D . . _ . <br />. ��n �� � � <br />• i <br />� I <br />Dse of Building � <br />❑New ($ Addition Q 3epair/Remouel <br />'Valuation of Construction 5 . <br />. PLOT PLAN REQUIRE.�IE:ITS . ' <br />indicate lot size, name of streets, <br />�lndicate location and width oP <br />alleys, locate pr000sa:d and all <br />existing buildings, shot+ distances <br />. to property lines, show distances <br />betFreen buildings. <br />I.ot size x <br />Lot area Sq. Ft. <br />� Size of Bldg. Sa. Ft. <br />Nwnber of St.iries <br />Basement <br />Signed By I"P��^ L��'`-' <br />Sr'3IT� Sci0F7 THIS <br />. Date �eceived 4--�� /7 � <br />�. .` <br />' Plan Check :7ur,.ber 7 �-' � v <br />Valuation �� �' �� <br />�4-. g o <br />Yemit Fee <br />,' Plan Check Fee ��-• �� <br />. SbWl Fee Due ��- 6� <br />Date Issued �I �IZ.�� <br />��� . �( C/ ��(� �� �� Q �'1 � � 1 . <br />For <br />Owner Phone <br />0:7L'L <br />D:e Zone <br />Fire Zane <br />Occuoancy Grou� <br />lype of Construction _ <br />Oecnpant Load <br />Sprinklers Required <br />� ;CITY OF EVEF�ETT <br />APPROVED FOR BUILDING PERM17 . <br />�Date. 1 � - � � . - gy _ � � r ,;_ � �, . , <br />� ' -=-- '— <br />