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<br /> _ • �i ' " • ' IItlILDIt7G PCRI•iIl TPPLICATIOW � ��tti � ',•''� J r �� •�:j
<br /> _ • � . • , , � lipgliwn� To ComplcCc 'Phis Yorm 4' �,•3' � ; , �
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<br /> , • • ' xP twrc than onc buildinq is to bc contructed, sebmit a ::eparatc pci�mit: applic�f- ''`'�
<br /> . ; tion for cach huilding. �1 scpatacc permiL will bu issucd S:or cach buil.Qin9. ��,�j�
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<br /> " � 6mer �('j/�(/ (/4`� y Bttilding Acldress O�S�! ��
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<br /> , ' . �ddresn �_07�' �1�4)G2E�T � Lot i:� �xocL• <�
<br /> City �t�1CC� Fhonc3.SSo7tIo10 Subdivzsiw� (P1aL-) n �.` � c,c�: t�� T� �
<br /> ' • Erchitcct/�'ngiiiccr �� ' %� � __ ' '
<br /> "� Ci.ty Phone l�i�tes & L'ounds (Unplatted) � �
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<br /> . � , :�� Conttactor � Sec. � T�r��. R9e � _
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<br /> _ . ' .�drev., . ,
<br /> •' ..Cit - .Phonc Bui.ldin Usc �r7nnrsE ' ' ' �` 1
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<br /> -� � � � �� Stete Liccnse I7cr.J.�er Describe S7orY, to IIe Done � -� �� �
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<br /> � . �.� '� I�,irati.on Catz Gm1�lS7��' ►�ft'"W �+C(aC.� .
<br /> ;� : ' . sr.�:�rctt PLO? rr,:�r n�*,ow' • --
<br /> • . '.1 • . • . , . . � J�se of Buildir.g . _
<br /> t� ' ' '� _ - . : - �he�a ' ,� Il�d.iti.on ❑ Rcpair/Remo�el
<br /> � ° � ' ' . - �paluation o£ Cor.struction $�D� �
<br /> .. .� _
<br /> m RIt4� " " - -:PT/JT PLAN FZ.QL'I21_L.:TS . .
<br /> � ' - � � � � . • ' .�Zndicate lot sizc, nznc of: tr.cctr.,
<br /> • � '� �i � � � - • � - � -indicatc locatior, ar.d ;ri.dth'o`. .
<br /> . f • . alJ.cy:;, 'lecate pro�csc3 �;.d a'_1 •
<br /> :-'i . . � . � � .er.i�ti.ng buildi::g:. shc•:i,distar.cc: '
<br /> �.•� . - . � . . . . ' . . � .t:o property lines. si�ow d5.stanees
<br /> � ' � �f - � �c�.' � ., bet-tacen buildingc.
<br /> ' . � �Ex�s�ini� . . - � x�ot ��Z� � X
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<br /> � .. . . ` • , � Lot- arca Sq. i't:.
<br /> " . � 1 - �Size o£ I'ilrig. _�-- Sa. 1't_
<br /> � �; � . . � � I7m:iLer of Stcric ; L�(
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<br /> �:. '_' . . . Si.gncd L'y _ +� - r L c, .-,cG . .
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<br /> ' . . � DO ;d0.' Si3?Tr 92L0!7 TIIZS I,I;di.-POR C'.7'S' US�: O;IT.'I _ _ .,�.--_ .
<br /> bate `;eceived � � Uce� 7.on:: � __...
<br /> �� Pl:n C:icck `7ucScr � ! � Pirc Zo�c __ � - --,-_.--- .
<br /> � OQ l'aluation � Ocruiinncy Grou� .�
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<br /> '1/?��� Pc:niti Pcc '.�yr�c c�f Con�;Cructian �_1
<br /> . • � Dl.m G:cck t'c� � _� Occu�,;�nt I.oa�l • . ____-_
<br /> Sl:lal P'cc. Dr.c ____ SpiinLlc.� It��ruires � _._ �
<br /> ' .. . —' " � , �ITY.OF -�VERETT�
<br /> vatc .r:sucd � ,___,_^_^�_,.. , %�PPR�VED FOR' 6UILflI�G PERMIT
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