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<br />, •' Ii �ore than one buildinq !e to be contrucetd, submit a separate petmit aPelica-
<br />.. tlo�i-� cach buildin�. .1 separate permit will be i�sued for each building.
<br />' , Z- vC-/ZG'TT � G D �/1 iYL. .
<br />. �'O�mer S/�ii,�l��s � ti:oA,� Afrot. laildinq Addzess �/�dZ GVfJL! S7:''
<br />� � . ' � taerecs LSr2 � �vA« - ue4 I , Z � � nio�k � I B
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<br />. : Citr �d�QETT phone Sabdi4lsion (Ylat) (] F EV �= � C T % • ,
<br />_ ' J�cehiteet/Enqineer �Jj�,CG-ic/�il ��GQ�iV • [� � lJ A ' ' � •
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<br />_ ' � � ".i CitY FG�E/C'�"jT � Phone AL q - 3/(0 / Netes i Bounds (Unplatted) ' •
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<br />:�': Cootractor �J./����j�j.(�;/IU�' , Sec. Syp, Rqe .
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<br />: %'':'• llGdzeas /CCJ�� '�'o/l0ac'�%Y ' •
<br />.�1 Citp �dt,E'�)'T Phone ZS')-5/� / Bnildinq Use /J�1� ' • �•;_��� ,
<br />• � � 4 .A:.. .•r"�..
<br />�-�� " .� �� � State. Llcense N�.^�ber 2 � 2'�� Describe Wozt to Be Done • •, �•� ��•
<br />. � • .
<br />.' � . ;i Lipiratioa nat� DEc . 3i . � 9 7 5 ' /.tJ J�.0 i�,L �'c�tCDC � '
<br />� ��' • • SI�TCIS PLOT PI..1Y BELOW' • � �
<br />`: `': � � " • , � • • � Dse of Huildiriq • . '
<br />� •-
<br />_�• j • , ' � � � , ,,, • OHew ❑ addition �iie}s#r/Remo::el
<br />� �t • �, ^ �'� � � . ' • ; • �Valnation of Construction S %�iG. C�� V �
<br />V X ._. ' ' - I
<br />�- .•�,, -' .•�,�;; '_, � ' PLOT PLAti REQIIIRE�LNTS ...?. .
<br />r • �
<br />:.� • - • , � � • ' Indicate lat size, nane of streets, �
<br />- • '' - '.. � " �indicate location anfl wiZth o: � �
<br />• . � ' - _ �_; • � = �.: _ • alleys, lacate oropose3 ar.d all -
<br />• �' � � •� existinq bnildiags, sho:+ distances �
<br />� ':R. •• - �
<br />_ .. 1 �. - ... � . ; � : •."'• . . tio propertp lines. shor+ distances
<br />.�: �� •: � � between buildings. -
<br />G ' � - Lot size x ' �
<br />:. ; ..1. -
<br />: S.i- � . � • . _ � • • . . Zot area " Sq. Ft.
<br />. � �_ :— _ � � • �- ' � . Size of Blcq. Sq. Ft.
<br />" 'i � �': . � . � Number of Stories
<br />• :: . j• , ., � � . • ' . ' ' . Sasement � . .
<br />j �r:•.,- - � g Y 7%%l3..���
<br />� •�. . � . , Si ned B 9 U! , �--�o-�'-n.-c��
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<br />. _ . . . . Far L(i�'�C�'.>,p�c.; c�.tlS- � � �a.�.
<br />. .. . . Phone �S�- 5�9/
<br />' . '-. ' � GurJTJ'/1-s�s . '.
<br />,.' � DO NOT P::i?TS H=LOF7 TYIS LI:7E-?Oii CITY US OiJL'! � � .
<br />: _ _ Date A�ceived ��i�7�_ Oce� Zone ��� �� '
<br />' Plaa Caecn :Iur.Ser _%S'�4%�� ' Fire Zonc � '
<br />Valna�ioa ���!',� �� � Occuoancy Groap F- Z
<br />3!/, '
<br />Pescit Fee � ' Rype of Construction �(
<br />Plan Check Fee ��L. /S Occupant Load •
<br />. � ibtal Fee nue . 5�3� /5 � Sprinklcrs Required ' � ,
<br />Daie issucd • / � � ' � • CI1Y aF .EVGRETT
<br />., APPf�OVCL�''f(`i13.,(3tjIk.D1i�G�PERMIT . ,
<br />' . ,, . •. .,
<br />L�LEC. �/1iJia.E'S'Sdicia� Eccc . • Date � �- �jt3 _�� .
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<br />�til����. �� .�l,c�,��✓cs�.c; it.� ��G�av�c`/� . . . .
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