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_ <br /> /�" �� F 1 <br /> nr�.lic'".0 'i0 C.c^,t)1M�_ :::t:. .�.�u�� /� ` <br /> t <br /> If c�ore than onc buildinq is to bc contructcd, scbnit a sepa:ate perniL applic.?- �� � <br /> tion Lor each huilding. A separate permit will be issued `_or each buil�inq. <br /> � Buildinq nddress yU7 �FS�h �� � cL' �rl-c�`�l <br /> Ovner �4 V r 2 1zC � �.✓� �o�_°"��_ t <br /> Alock � <br /> Addrr_ss 1G6_957/r rL. S. C- , t,ot�--_ _— ; <br /> City t'��rc7t rhone 397- 22oe Subdivision (Plat) /�e �n,�c�'�'<�_-- <br /> . f <br /> Architect/Engineer N " o� c _ - � <br /> City ���Pr�'� Phone _ Nctes s IIound; (Gnplattedj _ <br /> R e � <br /> Contractor (uc.)-evi�t lc� et'nG _ `r'P�• — ��'- 9 �-- � <br /> i <br /> _ ' Address �,:/ -`�rL��f-�-_-- - _` � <br /> Use S��no��'�r� �l(�loy <br /> City �-e7l Phone ��_ , :�.LO B�il�: y , <br /> StaCe License Nunber 22 ?-vl "7oG '/ Desczibe ForR to fle Done ^ � <br /> � <br /> Expiration Date b(- " 0 1 "�.�_, ---------' � <br /> SRP'.TC}i PLCT PL1:7 E3Ei0'i . ` ' i <br /> Uee of Huildin3 _ ` <br /> ���w ❑ Addition ❑ Aepair/Aer.udel <br /> Valuation o: Constructicn 5_. ii <br /> I! Z, N� I <br /> -- �- . . PIAT PLAN P,EQUTAL^iB::TS • <br /> --._I � . i <br /> Indicate lot size, name of street:, <br /> indicate locati.on and w-�=`� �` � <br /> alleys, loc�t� FrcF�oacd or.d al! <br /> � existing buildi.r.gs, �hoW 3istacces <br /> 0 <br /> o � � � to prcpezty lines, ,how dia�ances <br /> � � \ 1• . betMeen buildi.ngs. � <br /> c� - � � Lot size r 2 7 x !/ �-- __.-- <br /> � �9� :c. 'rt. <br /> ` - -- --- �' L^c area ca. Ft. <br /> ��� K �zo�� SiZe. of �Jldg. �300 , <br /> v� hunber of S.or_�s J_.,_---- <br /> .,a�c.^.cr.t �f __ ------ <br /> J 1�� <br /> �"- 1=` .r `i.�. �>�_.. <br /> Sicacd 3y — <br /> --��-- -._W__--�}y� For — � ---- <br /> ��,cC "� . -- Cancr Phone ��7- "sct-- <br /> ���.S�UI,�r�s��"� <br /> GO t�0; �i7IT6 '_i.CI7 ^HIS TI:iE-FO__ 2 C�_Ty U`.;: O::TY � <br /> --- �Z-/ S . ��_� <br /> 2 ' <br /> � Vcc �one �.t/ aE <br /> 7'_c -:^i:'-':'. . �� ''`� � �i � <br /> �q-��/o Fire �onc 3 ..-- — <br /> o�_n �.�c:: )Icr--- -----_'_ T <br /> 2, � �� Uccuoancy Grou� ___ � -- <br /> Val.uati.on , / � <br /> �S� �, Type o£ Constcactian b' '�� ____—� <br /> Pc:-nit rec --- . <br /> ?�' � --_. <br /> Plan Checl; Fee _J�,__ Ocr_ur��t Load ,_� <br /> (v`-- � <br /> �� - S,r.rinklers Rcq��i.red �/�� ��_—__.-- <br /> Totd1 rCC CU^- ._--,---._--'--'-- - • <br /> CITI' OF EVERLTT <br /> 5� ,! °,`^" I"°`1 _ ---�---- APPROVED FQ2 �UILDIh�3 P[^;:if <br /> `���(, ���-�'��i��.;� i z-,�� 4-7g �;,t.�_���_<< __ „Y -7��=-��__�4 <br />