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Applicaac 10 CcrpieCe tnis _ucm �d / �/ <br /> =f morc than ene buildir.g is to be contructcd, submit a separate permit appl����� 7�� <br /> tion for cach bui!ding. ]1 separatr. permit uill be issued °or. aach build 'nq. ! <br /> C.me: L_�/z�,j:�€,�U�N� Buildinq Address ' <br /> Addres, ,� ��� �,,icPi'icaJ /j�v:� Lot_ , ��f�, _ Block <br /> City F��c,C't T'i_ Phone �.�>>-521 S Subdivision (Plat) p i F•�,�_ � <br /> Architect/En3ine��r � <br /> City _ _�phone _ , Metes 6 Dounds (Unplatted) <br /> Contractor �', �) �_' Sec. <br /> '1�p. Rge <br /> ' Address <br /> City -- P:�onc __ Building Use _ S�y �• �,.y„�� � � <br /> �SF �_ <br /> State Licer.se t:umber ___ Describe {vor$ tu De Done ___ � � <br /> Expitation Date ___ �i��.��1c� Car�en� .f' <br /> .�'iRETCH Pi.OY C'.1:: E�i�iP • . <br /> Use of Building ' <br /> � ❑t7ew ❑ Addition '[�Aepeir/Renodcl <br /> Yaluation of Construction 5.?O 0 `=' <br /> � • ' PL(`T PLAN REQUI4El�SE:7T5 � <br /> Indicato 'ot si�c, namc of strcet�, <br /> indicate location and width oE F <br /> alleys, locate proposed and a:l � <br /> existiny buildings, show distanccs � <br /> ' � to property lines, show distancc; � <br /> t,etween buildings. I <br /> . Lo* sizo _ x _ I <br /> Lot area _ Sq. Ft. � <br /> . • - Size of 61dg. �'— gQ, p" <br /> Nunber of Stones � <br /> ndtC:7C.^.t — . <br /> Signcd By <br /> For �ac fJ �r'S�,�.C.��.,�n/ <br /> � �cr� PhOne 3;'�-����--- <br /> ______ DO fi0'P F;::IT="F'I.n;q _?i75 L,I']E-FOR CITY USE O:iLY <br /> "''_-- . :=n�.o'_' li�— �d� .'Cf — -- , — -- <br /> __ _. U.e �one <br /> 2!_n C::c�cr ��,.. _.__ __ Fi.re Zone - — <br /> Valu�tion _ Occuo",cy Group <br /> Pemit Fee <br /> � Typc cf Construction <br /> Plan Chcci: Fce ___ qccupant Lo�d � <br /> Total Fee Dc� _ __ __ gprinY.lers Rcc�uired <br /> � <br /> e,f` T"°°� -- — — CITY OF EVERETT <br /> FlPPROVED fQ;? G!)ILCi?:^: p�^r,.�ilT <br /> D�t���� /'Z��� �� . <br /> —�� -----�_r <br />