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r <br /> _—_- <br /> :_!� <br /> ' � � �' • � ' DV2LDING PERHIT APPLICATTON � � � , �`'. " � � <br /> _- . .. ; . ./.,f. J,,l'�.::..� i <br /> i . � wppliaant To Complete This ^orm /o/% �i <br /> , • • ' T! more than one buildinq ia to be contructed, submit a separate permit applica- • <br /> . � tlon for. each buildi�ng. �l separate permit will be issued for each building. I <br /> , ' ' Orner � RU 1� ,�., � �1' S U 1' luildinq Addresa ��i.+ w'�iii�!>'.�:`rI, ` �;i � • I <br /> � .° : neare.. a S 3.3 E'� tl,c. r.oc j` � n�ock <br /> . Clty AR. �v�l � Phone �„ 59--9'i�13 Subdi4lsion (Plat) � �C_KCNW�O� � <br /> ' • lrchiteet/ nqineer � AM� • • <br /> _ 'ti . `-'� Citp • Phone !;etes c eounds (Unplatte�) � <br /> � • ;'•. Oomtzactor S Fa'M� � ' See. '1Wp. Rqe ' <br /> � - . —. <br /> c. �. . r �Ldress ' • . , <br /> . �' City Phane Bnildinq Ose SI IJQLE � F.�r.��-�/='•;'<��,... <br /> .. 1' ,:. . � .,ti.. ..; �. <br /> �'�� � State.License N�..^sber �oZ�U �c�)9.S'� Describe Wor!c to Be Done �` <br /> , _ . .: �i L=piration DatE oZ �1 7(� ' �ES�Q E� '�'b '�� r+�Q;,�Z�O�V . <br /> T.�' " • � SRETCH PLOT PLAN BELOfP' • <br /> � .'� . i� • - • .. � . . • . <br /> Dse o£ Building <br /> •� : � , ; � � New ❑ Addition Q Repair/Remo::el <br /> _ . . . Q� i�, • • ' i, <br /> . . t' , . ' � � . .�. YO <br /> ' ` ' . - � Valuation of Construction 5� Q OCJ ' " <br /> . i <br /> �...- . �, - - .•:�. ' � - . YLOT PLAN REQUiR&�fENTS . - <br /> y :, . . .. � . . . � '.1 <br /> f ' . � • • ' • � • <br /> :. � : . Zndicate lot size, nane of streets, <br /> :� • i • �� ', 13 y �l , ' •indicate location anfl width of _ ! <br /> - : �: � : alleys, iocate pronosed ar.d all <br /> . - �'{ . �-=-��� ' : . : . existing buildi�qs, sho:v distances <br /> _ . 'I r ' ` '- ' r�. •�': t0 property lines, show dist nr.es <br /> . ; . ' ` � RFSIDFu��- ' J,_ • between buildings. <br /> : . . <br /> : : ' ' . .. ..•' )! • '�• \ Lot size �x i^'� � _ <br /> .•.- ' G�`' . A`� . Lot area ,2_ OD Sq. Ft. <br /> . :. r. = . . . � IY Size of Bldq. . � O Sa. Ft. <br /> 'i _, • Number of Stories 1 <br /> , -: j• . 1a; . . . . � Basement r� . � . . <br /> r.. . oI S �.; \� , <br /> M1� -'' � � . SS,'q�{ . Signed By �! Aa�e.SJ . 1\ L�t::����� <br /> . � . . , <br /> • - FOs � E� F <br /> ' �1:� �-ST M.\�1 ;�i `t F� . �' '�.�"�`'. _ Owner Phone _(L c q_�� � •,, <br /> -� _ . ._ <br /> . ' DO :IOT K:i_TTE B=LOI7 THIS LI:IE-POR CITY U5� Oi7L'1 � <br /> ' � � . _ <br /> Date S�ceived �f / Oce Zone <br /> ' Plan Caeck :7ur.,Ser '7"� - '��7 � ' Fire Zone � ' <br /> � <br /> Valuation 4�� �)• �� Occucancy Group I <br /> Petnit Fee �a'�� G�� � � Type of Construction v - p.�. . <br /> � Flan Check Fee ( c- ��� Occupant Load • <br /> . � Sblal Fee Due Sprinkl.crs Requized <br /> . � . CITY:O� EV <br /> Datc issucd l�' �– 7 S , App�pVED�� ERETT _ <br /> " ' .. .' OR ¢u1�DING PERM!7 • � <br /> ' . - ' �ate`j-/�_.�!�_gy_� C': ' ' <br />