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. . - . � � ' ' t' . . � �.� <br />� ' • � . . ' � � '♦ <br />. " T <br />. 'f . — • ' . ' BOILOINC PERHiT ]1P1'LZCnTION ' . . . ', ,•.,, . . .`:�.± . <br />• .• , • �� ilpplicant To Coinpletc This _orm <br />.. . � <br />••' St torc than onc buildinq is to bc contructed, sul�mit a separatc permit applic�a- <br />� ., tion for each buildin3. .1 aeparate permit will be issued Por each buildin �� <br />. � <br />• ' 6mer �/�l� �/�6���'� Bnildinq Addcess � ��. �r'_ i , 1 � ,� � � � � <br />� � 1 IIddLCF.3 1�ln-7 �CIlZZS�J`/�� _ IAt BiOCIC __�_�� . <br />•• City ��/ i(r/'1__— phone,�i� 3�� Snb3ivision (Plat) � <br />. . . <br />' - lsehitect/Engineer � —_ <br />. :, ' +-.r� �ytY Phone Hetes L IIoun3s (Unplatted) : <br />' � Contractor � '= Sec. �P• ng� . - <br />�,'. . ; <br />., • _ . <br />.. , . � .L3czess �% _/� . � � <br />,. i ,LYty Phone 'Duilding Ose . "•4.--- •.. <br />.�{; : . ., . � _a �3� � .::.; -� <br />Stnte,Zicense Nuaber � Describe S4oz1: to Be �Dor.e <br />. .`i . . . <br />� : ,.'� Ezpiration Data ���— %� _ <br />�� � �� � = "SF•ETCII PLOT PI1.?I T.3cLOT+1• , . <br />'i . . ' . � Dsc of. 3uilding ' <br />. :.1 . . • : ' . . .. . <br />� • • �]New ❑ Addi.r.: on ❑ Pepair/?:cr,�o_cl <br />i. . . _ , . _ . . , : . <br />� • ' . '; � � Valuation ot. Con�truction 5 ' <br />�� i' . <br />� �' • . . � ' � �,PIAT £I.AN REQUIF:E:'��:2:TS : ' <br />� �� . . • . . � � ' • . . . . <br />� . � <br />: ; •. • ' Indicatc lot si.�e, na.^..� of strcets, <br />, • .� � � . . ' � 'indicate locction ar.c widtti o` , <br />� , •- �� ; - ' , • alleys, 'locate a:opo�ed �: dJ�`ll <br />�.,� - . • . • .exi�ting builcings, sho�a,d-�` -nces <br />� _ _ _ ,a . • • � . . -io propertp l±nes, �ho:r distar.ces <br />; ? - ... • . <br />. .� � . _,bet�recn builciags. <br />: : ' .A • . _ . i <br />' � . . . -_ . �j� .�_ . . <br />. , . � � � , :IaOt S1Z(.' <br />. <br />70 �O'^ S';2IT� 9:L:'7 <br />� DS:C S^C^_1VC(� � <br />• ' Plan C:�eck :lu-:.Ser <br />Valua�ion � <br />Fcr.+iti Fce <br />;lan Checl: I'Cc _ <br />�: tivta.l 1'cc nuc — <br />' Pa:r T:::ucd '_____ <br />Lot area Sq. Ft. <br />Sizc of Tldg. Sa. Ft. <br />Number o` Stories <br />IIase�aent <br />Signed D� L�i�����'l� . <br />For <br />�— �LJbCY F'11017C ��� <br />JSE O:II.Y � <br />U�e Zone <br />Firc :.onc <br />Occuoancy Grou� " t1 <br />•fype oE Constructiw� jl- - h� <br />Occup �n l I.o.�.l _�..- <br />' �ITY OF EV[R[TT . <br />Sprinl:l�ffiP�P�b�f1.l�Cf`�0 f'-$tfitt3ttv'�-f'CRR��'�- <br />. . .• Date -�1-/L2,�:� ��_. BY . �� C . <br />A <br />