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. • DUILDING PERMIT APPLICn'PION • 7� � • <br /> , ��'– <br /> � • Ap�ilicant To Comp].eL•c 7'his, Por.m� ' ��� J/�/'G <br /> If m�:e than one 'ouildinq i,� to be con�trucicd , submit a separ.ate per.mi.t � <br /> appli:ation for. e�ch buildinq. n �eparat•e permit a�i.11 be is�ucd for. each • <br /> builc:ing. � Z�(Jt- �g/'u�,so�„vj;v <br /> Owncr %jC�/�� ,�Cl��'iV/Ti//Z� IIuildin9 Address LG�C/c'ci% GC/fIS%� <br /> naaz��s � O > �3�c��D�L���y zot / ry2c.� �z nio��: 9-40 <br /> City �G�c`�EjT Phone Subdiyision (Plat•) • <br /> Arehi�cct/Engineer �L�C�% �/'. ��E /,✓/( GiT�1 �'f LG'C�Pc�TT <br /> City /���p/,���N/J Phone � - 2¢Z Metes & IIounds (Unplatt•cd) <br /> Contractor ��Q�,r/r'�l���� -�i7�1 Co,c,�5 <� , Sec. Tivp. _ Rge. . <br /> Addz.:s /LiC)<<i ���G���cci;!J-v <br /> City �/./f�l�tTT Phor.e �S"y- $/ ;/ • <br /> State License tJumber 7> > _ �>/34,33 <br /> Er.pirtion Date /1�� . 3� ; r 3 7� <br /> • ' IIuilding Usc /�-U/d/J/N/ (.- ,S%�;��. <br /> � <br /> � Descr.ibe S•:or}: to IIe Done <br /> co�•��=_ �oT �ntr a; R.�rzsE s� /�VT���c�/'` RE�uv.�C.—�,ti'� <br /> Numbe.r of Stories / <br /> . . • ' Basement �I � — — <br /> ' . ' ' " ldeta Addition Repai.r. Remolel% <br /> _ . • � •.. . Valuation of Construction $.9_ -5C'�O`,"' <br /> . . Si.gned IIy7�� ' � � '�' <br /> _� <br /> . For � a�i,�� < �7�vC,i.f.c-vt! <br /> � <br /> � Owner • Phone lS - i <br /> • Do rot Flrite IIelo�v Ti�i� Line -Por City Use Only ' <br /> Date Received '� I2 (-I (�- ' ' ' ' ' ' • • Use Sone ' • <br /> ---r— <br /> Islan Checl: Number "] (,,-- �-l�'�' • . Firi: zone z- <br /> Valuation �(���C), � ' • Occupancy •Group �" <br /> Pernit Fee •� 2 � `�`� . Type of Const•rucL•ion �� ' <br /> Plan Check rce ' ``"�, ,;) `-� Occupant Load <br /> Total Pec D�ic Sprinlcicrs Required <br /> Date IJJUCL — �CITY OF EVERETT <br /> � , . ,.APPROVED FQR BUILDING PERM11 <br /> , • • � • • • pate - •-t e By �,' c_ <br /> ---.-.,_.... <br />