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Applic�:[ ':o c::.i;ii�r.c �_::is . ui.�.,� ' " / O �� � <br /> If no_e than one building is to he contructed, submit a separate permit appl/Sca23�`s � <br /> tion for each buildinq. �� separate permit will be issucd _°or eacl� 5uil�in ' <br /> g` i ,l_J <br /> �`�� �' i <br /> Owmcr � �/ /�_ _ Duildin? Addzess �n 7 /7 �� - f <br /> _'�'�'_! i <br /> naa��ss __ cot ,�� ai�cx G n o � <br /> City Phone Subdivision (Plat) �� � !�r ,{,�� ( <br /> Azchitect/Engineer f <br /> Ci.t� Phone Metce S Cour�:s (Unplatted) I <br /> ��- ---- ' <br /> Contractor ' _ � � :: ���� Sec. � 1� 'hap.� Rge _�_ � <br /> f —7— <br /> Ac�dress `� �� C , �d� <br /> ctr.y �, rno�� Z5 Z 'I7�/ eu�ia�:� o�� S �2 _� ' <br /> State Licen�e Nunber Z � 3 --O l — C^ �3(�"o��c:ibo Wozic to Be Cone Qp NQ/YS � <br /> capiration �ate j—/ —�'� S' y�QY �� � / -QyZs-Z� 'L'z/ <br /> sFs,c�i rt or rt:?,�� net�v T <br /> Usc ot IIuilding � <br /> ❑ticw ❑ Addition ❑ Repair/Rcrodcl <br /> Valuation of Construction $ S���L� <br /> �.Y- <br /> • � PIAT PL11LJ fit:QUIRE?7L+Tu^ . <br /> Indicate lot size, n.timc o: s:ze^ts, , <br /> indicatc location anc. wict� o: . <br /> allcys, locate proposed ar.d all . <br /> er.isting buildinns, shcw distances : <br /> ' � to propezty lines, show d.+'.stances <br /> � between buildings. . <br /> i <br /> Lot size x <br /> Lot arca Sq. F . <br /> , , � Size of I31dq. Sq. �'. <br /> humber of stori:s <br /> �,'C^r . __ _ <br /> �'_".'__. ' <br /> :1�P.[tj �j �' � __ . <br /> ���_ <br /> ror <br /> � tr.:�cr Pnone <br /> DO `IOT `��I,P^ -',�`;7 ^}Ii5 7�I):i:-E'C'', i.:SY L'."�r: O:iLY <br /> � <br /> -�r _- - -.-- /����_-�- _ � U:.e 'cnc - -- �- <br /> t;, .n C::cc;: ' -`�-�r Fire .".one � <br /> .1 _. �d —'_— '" <br /> 77 <br /> Valvation ,S7 30 '"" Occuoancy Groua <br /> Pcmit Fec Type of Construction � <br /> Plan Checl: Fee Occupant Lo�d ___ <br /> 'ibt�l Fce Due Sprinklers Required <br /> ;::��c i,.-�,,�a - ------ C'TY OF EVERETT <br /> ---_--- �aPPROVED FC'', r�i;�� ��,';,.' „��.. <br /> Datc___...._. Gy--- �---- <br />