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-. . , � . . . . . . . - , . . .• , •+^� <br />DOILDING PERHIT APPLICATION ',: ,.. J r++� <br />. . �ipplicant To Complete This :orm ' ��S , ; j77 <br />' , i • <br />, ,'. 2f �ore than one building is to be contructed, subm?t a separate permit aoplica- <br />.. llon foc each buildinq. ]i separate permit will be issued for each building. v(�' <br />� � � .. ��0 .V � . <br />. . � 'p¢� M�L 1-^�i� Hnildiny Address � �--. c ' <br />�.. �, iddress 4-8aS SP�CL- Ln��E ypt �+:, Hlock ' �/`� ��7j �.. <br />�. � aty L�EP =� I Phone 1t2-75G,9 Subdivision (Plat) We�T ��tx,E � <br />• � � ^ �sehitvct/Eng.�^� ri��:,�; �'��11 : , v. . . . <br />- . � t: <br />_ `ti� . `_'� Citi � Phone tietes i Bounds (Unplatted) � <br />. ' • 1 �trlWIL =E3ERG CONSTF;���CIION, {h'C' Sea. s+p. Rge ^ <br />:. <br />.l - �iU V I J. • • ' . <br />` ' i ' • . <br />.: • >'• -�ddress lVlarysville, �Nashinnton oc�97n ' ' ' <br />- 659- 76s � ►� <br />' i, City �one Suildinq Use Ga� nc,'E .'t;•: ,`•�;',..: <br />. •�; , .,: : . . <br />�`y� State.I,icense Nianbez ��3-^' - �' � <br />� • ��:I. Ecpiration Date 9-1 -'77 <br />�1: .". : Sl�'TCFt PLUP PLAN BELOI+T' •. <br />� _' :� ` .. G21 ' • .. �._ • •. <br />� i - � • ��. . � . .: .. . <br />� , 'i :�! . , . <br />e. . . . . <br />.�• � _ ... - ... <br />-�.. • . � • . . <br />� � <br />� ' �i ' " - - ,�n� � ' � ' . . <br />. . y . . . � i � . . . • i <br />. .: i :: �p�?_ <br />.• _ .� - � � ' �' .. • __ ;' <br />' '1 . ` �! . - �i� <br />. . a <br />' . � ' N -9� . -_ <br />. , . �. . <br />.�..i-� ! I . . . . . -. <br />'. <br />: �; • <br />� . -�� � .. '. <br />' ': ' � N�egCKcarn�t T " . . <br />� . - <br />- s. .; . .- . . . <br />Describe hork to Be Done- `�' �° . <br />C.�usTe��-r ';r-a��`� <br />Dae of Buildinq <br />❑Nev ❑ Addition Q Repair/Remodel <br />�. . <br />�Valuation of Construction $ 3�1�'� • �� � • <br />PLOT PLAN REQUIRE�L.NTS : ,E <br />. . . �.. <br />' indicate lot size, nane of streets, <br />•indicate location and width of <br />• alleys, locate pronosed and all � <br />• pxisting buildings, shota distances <br />. to property lines, show distznces <br />betaeen buildings. <br />i.ot s3ze �,� x <br />IAt area Sq. Ft. <br />Sizc of Sldg. Sq. Ft. <br />Liumber of Stories <br />• Basement <br />Signed By ��z...� �F�....�,���. .,, <br />por �KANIKEBER6 �ONSTRLCTfON,1NC. <br />Owner Phone <br />-� � � DO t70^_ SC:iITB B�LOF7 THIS LI:Ic-FOR CITY USE Ot7LY <br />—� •—` Date S�ceived J"Z,�`'� l� Dce Zone 11—I� 51�-6�;1�. t-nrnii � <br />� . ' P1an. CSec;: :Jur�er -I � v' C.�Lo Fire Zone � ' <br />'Valnation ���'��'pG Occunancy Grou� <br />c. <br />_. Pes�'E Fee ��--��• ' Type of Construction _ <br />' ' tlan Check Fee <br />. Sbtal Fee Duc <br />Datc Issued <br />��.�� <br />��' • t. <br />� � � Occupant� Load <br />Sprinklers Required <br />. : <br />: <br />