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. � . - .. . '� DU7LDING PERHIT APPLICATSON � • . . . � ;' ' -`.�_ . . <br /> " � ' >pplicant To Complete This ?otm � '����� • � <br /> ^ .. . , }�S�'S <br /> , ' • �' It ao:e ;han one buildinq is to be contructed, submit a separate permit applica- <br /> . , tion Lo: ��ach buildinq. A separate permit will be issued far each Guildinq. <br /> � �pr ,���; m�s� �'_ euildtnq Aadress '/O�o3 c✓ARv AvE : <br /> . . aaa=�9: ,'O�o 3 1.vA,+ :� vE r,oe�� Bio�x � � <br /> City Phone ,3,s3-S,'•� O Sabdivision (Plat) �Ro�3n�Ay : <br /> � • �chiteGt En ' <br /> . / 9 ineer �, , f a� �d,fST <br /> `'� City S�A7rL� Phone �y�-//Rs Mttes � Haunds (Unplatted) <br /> - - .� <br /> ;, Coatractor L+��LG'/��Q .�NO . /N C'� Sec. '1Yp. Rye . <br /> ' � � aear�s5 lS�;3 PA�c yyvY �o. . � • - <br /> � cscY SEA'l7LE� Phone�'�/y I/�BS Baildinq IIse �AT/P Co✓EiQ ==;:�' , <br /> � � ���} - SUte.License tlum,7er �,3'�� /A3'3� uescribe Work to Be Done ` �° J <br /> • � .( iS�iration Date 3^ ��"-/�6 ' <br /> .�' �� ' SRETCH PLOT PLAN BELOW' • - � <br /> _ • . � � . , <br /> ' : 1 : . IIue of Dnilding � <br /> � � <br /> a ; � . ' , , . . �Nev �Additian Q Repair/RemoGel <br /> . .. ., .; � � � � � 1.� . .. ` ' '�►�nation o£ Construction S i�l�'��6:� � <br /> s <br /> .�• , • . �._..� . ',/ . ' • . lLOT PLA:i EEQUIREFffiNTS . _ . <br /> �. . t " � . <br /> �. ; . . `? I �'1 ' • ' Indicate lot size, name of streets, <br /> � ' ;.� �. . � ' •indicate location and width of <br /> � • � ' ' �� - - � � � illeys, locate proposed and all � , <br /> . ' .'�I. � . � �_ - - . ` - . � lxistir,q buildings, show distance� <br /> _ , 't ' . "-�g . . �~�= to property lines, show distances <br /> . � � . � . betWcen buildings. <br /> ' � , • � Lot aize ��0 4:0'0 x /9S. 9`,� . <br /> .. - ` . � � � . -. Lot area �.��. 0 Sq. Ft. <br /> �_ - ' - 61ze of B1 g. Sq. Ft. <br /> ` f • Nunber of Stories <br /> . � '.: . I� . • , - �,�wwC He.p � � <br /> .:. ' NE4� J�dc; ��,�_� <br /> ,` .. ..- - Sigaed Dy �� <br /> • �� !or �ia_��� '�'L' �`-3� <br /> . . . � Ovnec Phone�'1'S/LO <br /> � DO NO:' S�:2ITE H�LOhI THIS LT:IE-r02 CITY ❑SH ONL'! <br /> .. � Date Seceived � !�'T� � Aec Zone <br /> -7— <br /> ' Plan Check :lucber 7�J 'z �� Fire 2one ' <br /> Valna:ion �1i� A� pccunancy Group <br /> Pem:t Fee �, �' Type of Construction <br /> .'. llan Check Fee Occupant Load _ _ <br /> � <br /> SbGl Fee Due li- �� Sprinklers Required <br /> Date issued .r -` JS ' e CI1 Y Of EVEREI'T <br /> _ , . . ,4PPRO�fED• FOR BUILDhNG" PERMIT <br /> . Date;--- = QY-`-- — • <br />