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_ . - t . � ` /976a �o�,��
<br /> . � , , • � Ilpplicant To Complete Thi� Sorm �� •'
<br /> � /�� ,Z- s.f".L�.� � ; . •. •r
<br /> • ' If more than one buildinq is to be c���tructed, submit a e arate
<br /> � . , ti�n for each buildin -'• P Pe'rmit applica-
<br /> , 9� �1 separ�tc pezmit will bc issued for each building,
<br /> . � � Ovnei l.=�'nF�2 � ' �Y[J�l+�:C'S"��' Suildinq Address �� v lv�..1,i�' .
<br /> , •
<br /> .� • � �IIress '� 3!ti '?(i�.�C' �E- Lot /';�� /�7' 81ock _l �� .
<br /> �r —� _
<br /> - ' �'i� _ruc'�-ld' '�"^'� p110i1C 7)':- >^':� � Subdi4ision (Plat) %-�'�L% U c l�K��:r7 � .
<br /> ., .
<br /> . ' = Etchitect/Enqincer !?�+,ert i,,:!,-���: ; �' . � •/"� �> 1 �r� • . , . .
<br /> . _�_1_
<br /> • '_ � `'� City �.����' Phone Hetes i Hounds (Unplatted)
<br /> - =j • .
<br /> ;,•. Contractor ��- �_i i c:��r;�:%r�" ��.� Sec. � . , -
<br /> .., . YMp. Rge
<br /> -• ;. . ' address • . . • .
<br /> • ,r Mty i`v'' C�` Phone
<br /> •ii • Suilding Usc S/ric.;�f' �+n�"y ��",iiPf-"1 �-
<br /> . �;_;•
<br /> '•'' ' State License Nczber � IVt�- �. 1';'"'`','�'�
<br /> .'i � De..cribe hork to He Done 1`0 req7Zw�*
<br /> , • . . ' r . �.� .._ " �.- �:L;� ..it,� rc.� C_o(>P
<br /> • . �i Ez^ir:.tion Dat� `;' ��-�- � !� •
<br /> �1: . . • • .��,.,7�' �; dr't;�r�;i.. S,l'b'r•r:��1 : ��
<br /> ' SRETCli PLOT PLA!7 T3ELOfJ' • ��'o. -_ ;.. :�•��e5 � '
<br /> � • - . :� . . . , � . .. . � . .
<br /> Dsc of Buildirig 5�'ic-1.� �A�r'Js- /�'S,/,2�1�r�
<br /> �' � .. � � . _� � . , . � []t7ew ❑ Isddition �Repair/Remo;tel
<br /> � • . .;� . . • , :
<br /> � �' � • . • = � Baluation of Construction $�, .5��' •
<br /> �. - . . �� . . ' � _ I . ,
<br /> �. � _ _ . . � , PLCT PLA.*I REQUI�'W:]TS
<br /> � 1� , . � .. ..• • . . ' .
<br /> ' : . •• • • • • . :
<br /> .- .� � ' C,LCJ �TTf}{'A(lt��i� I ' ' Irdicate lot sizc, nane of streets,
<br /> • � � . � , 'J.. , _ _ . � ` •indicatc location and caidth of �
<br /> _ ' • ' : allcys, locatc �roposed ar.d all '
<br /> ' � `, � • � � � � � ' cr.istin builcin s. shc:� dis.ances
<br /> • � • • ' � -� '/�9 �' • ' . • =. ' to property lines, show distances
<br /> � . . . . . .
<br /> . ' ! � � �. ' ' . betaecn buildings. .
<br /> : • � � _. .
<br /> . : , ' . .• . - • . ' : . - , 7.ot size �,-c: x j��j .
<br /> � . . .
<br /> .• . , � . . � . ?�ot area (_ :Z ��- Sq. Ft.
<br /> • r.. - • • Size of Hldg. � ,?_c• �-� ' Sa. Ft.
<br /> `j ` . ' - Wunber of Stories b!1 <-
<br /> • ' :' . j . . . Basement ,n%c -
<br /> ..r:.�,• _ . -` .
<br /> ' • . . Signed By (`� �'�<�..-,lZy=--�
<br /> ' ,.. • ' . • . . • • • Por S�'(
<br /> • • , . ' Owncr Phone _��t�-'3 '�-L�.
<br /> .. ' � DO SOT SC:t?TT' 9ELOt�l TfiIS L2:7E-r'OR CITY USE OiIL'I ' .
<br /> ^ _ Date �eceived q 'j L^ IIce• 2one • _�. ' '
<br /> ' Plan C:iec;:. :Jur.,Ser �] p^ �'�'� ' Fire Zone 3 '
<br /> Yaluation �(�Q��� �� Occuoancy Croup i �
<br /> Pemit Fcc _ � 9(r. ��� Typc of Con�truction � - �.}
<br /> Plan Checl: Fcc �8 ' Occupant Load �
<br /> . ; To[al Fcc Duc Sprinklcr� Re9uir��iTY OF EVEREiT . ' .
<br /> ' , , , ' APPROV[D F BUILDING PERMIT '
<br /> D1tc Tsaucd
<br /> � � . .. ' , . � „ Date :Z. ' l �� gy ►L ,c .
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