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BUILDING PERMIT AFPLICATION ���� � � �� <br /> Applicar.: To Ccmplete This ^orm � <br /> If more than one building is :o be contruc:ed, submit a separate permit applica- � <br /> tion for each 6uildinq. A separate permit •�ill be issued `or each builling. <br /> n . �,�- ., � , Building Addzess �1 F�/" � '�c `�'i- <br /> Owner L�r�-��-�-- '— Block ,��� <br /> '� r � Lot_ Sf"�_ <br /> Address U � �' � � '� �' <br /> Phone�4,5': -� �C I �u�ivision (Plat) = ' <br /> City T ��— �— <br /> Architect/Engineer <br /> Phone �._ Metes 6 Bounds (Unplatted) �_ <br /> City ,__ — gge ,�_ <br /> Sec. �' <br /> Contractor ' <br /> Address � � <br /> City ��� Ph°ne �_ <br /> Building Use l� �-�N t��.�Y�r, r . <br /> Describe Work to Be Done �— <br /> State License Nunber �-� ' <br /> Expiration Date . . <br /> r <br /> � SKETCH PLOi PLA:7 BELOir' i �" �;/, <br /> . { <br /> Use of Building �;'� ' <br /> ❑New ❑ Addition ❑ Repair/Aemode� <br /> :� <br /> Valuation of Construction 5��— <br /> � . . YIAT PLAN REQUIREFIE:7TS ' <br /> • Indicate lot si.ze, name of streets, <br /> indicate location and width of <br /> -- -- --- � --� alleys, locate proPosed and all <br /> / � show distances <br /> existing buildinqs, <br /> ' �- -- ___ � ,� to property lines, show distances <br /> �I ! . between buildinys. <br /> I Lot size X � <br /> � . ' � 59• Ft. <br /> Lot area gq, Ft. j <br /> I . . --- - . � � Size of Bldg• ,�— <br /> Number of Stoties � <br /> ' 9asc^cr.t _----�-- ! <br /> 'i _ �/ _ i <br /> 1 ' Si9�E� �y � � <br /> -� � _C �� �a � <br /> For l�� ' <br /> Or "cr Phone 'S 2 - � � / <br /> DO NOT WZIT� '�L��� THIS LINc-FCR CITY USE O:iLY ' <br /> ._---�-- <br /> U:e Zone �--�--�'-- — <br /> ..r L':,]'' -- . <br /> 7 z`_c .- _-------- <br /> Fire Zonc <br /> P�:;� .^.:CCr: �7li-'__ ���- <br /> Occuoancy Group _ � <br /> Valuation - ' <br /> Tyoe of Constr�etion : <br /> Pemit Fee <br /> Occup�nt_T.oad ��- � <br /> Plan Checi: Fee � <br /> Sprinklers Required <br /> Total cee Due - ' ' <br /> CITY OF EV[RETT <br /> Date Is�u�3 � /. <br /> qppZO��EC FO i GL'IL���G P/EI.NII <br /> �— � l ni i '��0.�.�.. - <br /> Date!�u-�QY <br />