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<br />. . EOZLDZNG PEAMIT APPLICATION �' . • . �� ,: �,•.•'. �'•?'•+
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<br />�pplieant To Complete This -a=m %"'
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<br />' fi �ore than one buildinq ie to be contrueted. submit a separate perniit applica-
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<br />� tlpn for each buildinq. ]1 separate permit will be issued for each building.
<br />" �; -%''%� lnildinq Address S 7=2r; � r/h.rr�
<br />: • � �� �� -�a i, l r.'iF �. -
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<br />` . ' �Esess ,�-�-��� �,/��ir�vr�- Lo! •�� Elock 00"3
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<br />; • «� � 4hone..35.5'�5'yCnZ. Subdivision (Plat) �
<br />'' �rchitect/Enqineer -S� � �
<br />, , �r .a,f ��� � rPhone lletes i Bounds (Unplattedl :
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<br />• . s • Elc. �P• �°
<br />:.' Coctzactor . . . • ' , :
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<br />-. :• , �� lddzess � • ; • s. .
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<br />Phone Lnildinq IIse ' (� �`( _ �lu�i�-�'�!:Q�`•"
<br />.' j. ' Desczibe Work to Be Done �' %� g/� �,y�
<br />�y� tttte.License Number A ;,
<br />.,r r�,��.f-� _7'_l'Lqx t/'i��_ .
<br />. . :� . Ltpiration Dat� _
<br />z1: ' � .: �CH PLOT PLAN BEIAW' . • . • ; .
<br />'• '.: �• a ti'AdHCMt J7 . 3/��c i � Q�a of Buildinq .
<br />/
<br />' . • ONer � 1lddition ❑ Repair/RemoGel� .
<br />� i . ' . , �: G�p�,� .
<br />, . .,i' - • . . . . . , . • 7alaation of Construction 5 ! Vv�'
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<br />� • • • ' .. lLOT PLAN REQUIBFStENTS - r;
<br />.,.• .: , � . �
<br />� ,� ' • ' , .. • • =pdicate lot size, nane of streets,
<br />'.'( � • . ' � . .. • , •istdicate location and width of �
<br />' •� . alleys, locate pr000sed and all
<br />- ' .��. " ' _ ' � .. ' _ = existinq buildings, show distances
<br />•�' �' :�,. to property lines, show distances
<br />. 1'•� • ..:�.` �'.-•�.+ � -- - . . between buildings. - • '
<br />. . . ! . -- .
<br />. . : • . , ' . L�trsize �x �5 U f X 7S �,•, S.E,
<br />� � . ro.. ie .�o
<br />. a' . ,. � . � Lot area 9S � 54. Ft.
<br />..i- . . . ' Size of B�. � �'� " nss�_ 5q. Ft.
<br />r; - :'� 8umber of Stories 7
<br />• � ... , . . . Easement
<br />�:.., � � . • . �Dv l'�
<br />, Y'.:�- Siqned By .
<br />�� ;._ : . � � � ror � C-CCC�r.t i�v�ti �
<br />. . : , � � . . . . Wner Phone 3 � ��_ b 9°� �,
<br />_� .� DO NO'" S�ZITS H�LOt9 THIS LI:7E-FOR CITY USE ORL�! -
<br />�. — Date �eceived S � � ' U='e Zone . �
<br />' Plan.CSeck :7urber �' "Z7'� Fire Zone
<br />Yalnation � �� � Occuoancy Grou�
<br />� Type of Construction
<br />: , Pemit Fee 4�T, � � - •
<br />• ' Z Occupant Load
<br />� ' ll�n Check Fee ,
<br />� Sbtal Fee Due Z' `` Sprinklers Required '
<br />' �' • � CITY OF ,[VERETT •
<br />• Date Issued ' � . '; APPRUVED FOf� �U4LDINQ PGRMIT: : ' ,.
<br />"• � �,���' .. ' . ', •i_W�r_ , _,Ry'. ---•-'_ . .-�
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