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._. - - _-----. ., . ..� ._ <br /> E <br />' ����� <br /> , '^�--'-••- -:. _.,...r..�.... ...,., _...�,. I .i�/7�5� ' : <br /> ' �a mpr� .nan one :.�ildinq is to be contructed, submit a sepa�rate perm3t applica- <br /> � tion for each buildinq. 1� separate permit will be issued foc each building. <br /> �/ �GR�' �, , �G�q��IEL�- Euilding Address �'ZC7 S�� t� S�' <br /> ' ' Quner 'CP��. <br /> , ' �/ <br /> ' , lddress �'.2 G � 7 T� ST. Lot Elock S` '/ . <br /> City C�/��-�E�� phone .ZSy� L'�`/� Subdivision (Plat) «1'S"%A NEiGK7".s� <br /> ' • J�rchitect/Engineer Qu�'�C� � �'L .Q T �6 � <br /> � �"� City Phone Hetes z Dounds (Unplatted) _ ^ <br /> _ _ =j R9e . <br /> � Contractor '�Gt1l�I L /� Sec. TWP• , <br /> . :� <br /> . . , • � . <br /> ' • ' l�ddress � . _ <br /> - ; �ty Phone suiiaing vse /��: 5 I UE1�CL. =.� �.,' <br /> �;: <br /> �`t •� ''' ` Describe Work to Be Done !r'c'i'iov� �- '' ' '' • <br /> p� State,I.icense Number <br /> , . . � 'i EzPirati�n Dat� ' �i� TN - /�iTcl�' E-N - ��,�if'M. ' <br /> �ti � -� • SRETCkI PLOT PLAi7 fi3£LOia� ' —� � <br /> - • ' ' I � Ds�e of Building <br /> . � <br /> �� � � . • � (]New ❑ Addition �Repair/Remoael <br /> � ; ' . . . . c . <br /> . , ' ; ' . Valuation of Constzuction S �nJ��OA <br /> i . <br /> r ' � • " - PIAT PLAN REQUZi2��tENTS . . <br /> ' , : _ • • Indicate lot size, name of streets, <br /> • � • ' 'lndicate location acn width of <br /> � • . : , alleys, locate nr000sed and all <br /> � . • • existina buildings, snoia distances <br /> : r{ _ _ .. ,e _ . .. . . to p-operty lines, show distances <br /> - . ; • betwe�n b�ildings. <br /> . . ' . . <br /> c" <br /> Lot size � c x /� / <br /> � � . Lot area ��. 7 �� Sq. Ft. <br /> .� ; . Size of Bldg. / 7- � / Sq. Ft. <br /> r.. - , Number of Stories /'/V :^ <br /> ' ; . <br /> , Basement �/D <br /> . : . i� � <br /> ,-.. <br /> •� _ <br /> -- ' Signed By � � d�i�.��`��-�� <br /> . ,. ' � gpr <br /> • - Owner Phon�u � y� <br /> . � � � • �. '� c - . - ._ <br /> � DO tiOT �ti:i?T� $=�Ot9 THIS LI:]E-POR CITY USE 027L'i <br /> _ _ Date Seceived ���/��� Dce Zone <br /> Plan•Cyec� :7ur5er �s-z-�7 Fire zone 3 � <br /> /� O <br /> Valuation 7 00�' � Occuoancy Grou� y <br /> pnsnit Fee 4�• � Type of Construction jL - i-1 I <br /> Plan Check Fee <br /> � �r= Occupant Load <br /> � 7�, �� Sprinklers Required <br /> � ibtal Fee �ue CITY OF EVERETT <br /> S� APPR0.I�ED FOR Bt11LDING PERMIT <br /> ' Date Issued _� . . • � . . <br /> • ' � Date �f i Ll � � 6y � i�. C . . . <br /> � . <br /> _— _ —-- - - - - — —�a�av�o�..:�� <br />