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_ . . _ _ ._. _ _.__._ <br /> _. -- . _ _ _ ._ _ _ _ _. . -- -- - - . , y�_ ;� . : <br /> HUILDING PEAMIT APPLICATION '� � ��;,�1 '�.j <br /> 1lpplicant To Complete This ^orm � i f_.,�j� <br /> If more than one building is to be contructed, submit a separate permit applica- 1 <br /> tion for each buildinq. 7+ separate permit will bc issued for each building. <br /> O�mer p� FU TD/'✓ _ Buildinq Address <br /> 7�ddress /.22R G✓LT/)JoRF — <br /> Lot �I- N � Slock ,�� <br /> City t�fIZETT Phone Subdivisi n� (Plat) ^I- <br /> u. <br /> Architect/Engineer � <br /> City _ <br /> Phone Metes 8 Bounds (Unplatted) <br /> Contractor E�ERETT �i���Jf4S Sec. '�• <br /> Rqe <br /> Address �� ^• c�r:v G R ECN" t„�AY-_ <br /> � <br /> eity Fvr=R ETT phone 353 -7/(0/ 8vi�ing Use <br /> 3 � <br /> State License Number�2��-D/-E�f(�' Describe Work to Be Done <br /> � w ' <br /> Expiration Date 2 - / -� 7 <br /> ' p�. lonrrnn�aQ . - <br /> SICETCH PLOT PLAN BELOS9 , <br /> Use of Building <br /> []New ❑ Addition �Repair/Remodel <br /> ' ' Valuation of Construction 5.3 3.s0 -� <br /> . . . PIAT PLF�N REQUIREb1ENTS - . <br /> � • Indicate lot size, name of streets, <br /> � � indicate location and width of <br /> � alleys, locate proposed and all <br /> � � existing buildings, show distances <br /> A ., , to property lines, show distances <br /> • between buildings. <br /> Lot size X <br /> • Lot area Sq. Ft. <br /> Sq. F�.. <br /> . Size of Bldg. ; <br /> � Number of StoFies � <br /> Baser,.ant I <br /> I <br /> S' e <br /> Foi..... � er _ I f <br /> - Owner Phone <br /> i <br /> DO NOT WR7Tfi BEL0�7 TF(25 LINE-FOR CITY USE 0:7LY ! <br /> �� ' <br /> � /� [� p:.e .".one <br /> Da:c ".�ccz�'^_d � • . I <br /> Firc Zone <br /> Plan Chec'r. �umtcr �'�� I <br /> � ti�� �_-•� <br /> Valuation. ,�'' Occuoancy ro�P <br /> Pemit Fee G� O % � Type of Constrvction � <br /> _��^ I <br /> Plan Chec): Fee �� <br /> Occupant Load � <br /> > <br /> Total :'ee Due ��� SprinY.lers Required � <br /> oatc Issuc3 '/ �j�j ? �` CITY Or FVF�[-7 � <br /> APPROvr_i� r�._, !-., ' ' _' ' " : <br />