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/� �/� <br /> . • Ii eore than one buildinq ie to be contrueted, submit a se arate <br /> . tlon for each buLldin n se arate P Permii applica- <br /> 4• P permit will be issued for each buildin <br /> ' ' Ovoer � I., �y, 9' .�/�e�S <br /> --�'-'l-. �� �{=,��•� •- � Duilding Address ���F'I�1• 12N.�,��1.�=-�; <br /> . � . ,aa��ss ��Q ��uc�[r- -�ia�- z,� - -- - . <br /> Block <br /> �tY � Phone ��-:?�-�Y'�Subdivision (Plat) : <br /> � , <br /> _ • lschitect/Engineer ���-`h'�� , ______ <br /> _ ' + "=i �ty �'-ti�-��� P�one ��`= ��=�}-�tes i Hounds (Unp:latted) <br /> ` .:� Cmttactor �n� Sec. I� �,_:� Rgc ���- • � <br /> , , . � fddress :"�rilf� . ' ' , . <br /> '. City - - - Phone - - • <br /> Buildinq IIse r-:L <br /> ;,; .. _�•.::':.,.. <br /> , ,;� Siate bicense Number �'d?'j lJ I ICw�pes�ribe Work to Be Done �I,L� . �� � <br /> ; �I L�cpiration Datp -- ' ��,,��T • <br /> . `�, �~ . SICETCH PLOT PLAN SELOW' • _ . � <br /> : .� . . � Ose of euilding �(�'�,(�7"�1,�� • <br /> � ` • � � � • • • �New � Addition ❑ Repair/Remouel <br /> . . . , • ; <br /> ' • , . • Valnation of Constzuctiun $ ��FY-'� ' <br /> • � . <br /> '+� � . ' • ' PLOT PLAN REQUIREMENTS <br /> . • � . . :; . <br /> � . - . <br /> � � ; - Indicate lot size, naxie af streets, <br /> . i . , ' 'indicate location and width of ' <br /> �.� - " •� " . alleys, locate or000s ad ar.d all � <br /> existing buildi:gs, s.iow distances <br /> ' . � '. _ ^ ' - • to property lines, show distances <br /> ' , ! ' between buildings. <br /> • • .� ' . Eot size L"G .�. x� <br /> ..:- � <br /> Lot area S Ft. <br /> .� �• ' ' Size of Bld4• ��?"7r�-�� gq� Ft. � <br /> �� • ' Number uf Stoaies ' 4� � <br /> . '.: � <br /> r.. ' i • 8asement „ <br /> , . � j�� / <br /> ' �� G�/ � _ Signed By / ' L l�' , .'�!`t/ . <br /> . i. <br /> � . . . r0= �//��;� � � �� <br /> � , Owner Phone ;-�5a ti__' <br /> , � DO N0: fi:22T: B�LOtl THIS LI:IE-POR CTTY USE OtILY <br /> Date Saceived Q.�Z.S f 7�' D�e Zone _ 2 _Z <br /> —�_ <br /> ' Plan C:�eck :iur.,Ser �s -Zt�3 Fire Zone Z • <br /> Yalnation Oeeuoancy Grou� � <br /> Pemit Fee ' <br /> Type of Construction � - �1 <br /> . Plan Check Fee Occupant Load <br /> : ibtal Fee Due Sprinklers xequired <br /> Date Issued - . CITY OF EVERETT <br /> . • , APPROY-ED F0� BUILDING PERMIT ' <br /> . Date-7�7 / 'i 1 py_, f� C . . � � , <br />