|
_ . . . � . .. ... .. - 7...-.. . ,�� -
<br />. . . „ • '� '7.
<br />. ��' • , . . ' 9rSILDiNG PE1iHIT APPLICAT20C7 � . �.;%i( :',;'l� �. ,�.•j .
<br />-. �•, „` } , ' , ; AppliCant To Complete Thia :ozm �( •i
<br />_ ' . . . , �%� . �Y�'�� '
<br />� ., � ..,
<br />' ' T.i aorc than one building is to bc contructed, submit a separate permit applica-
<br />� •; tiop for eaeh building. �1 separate permit will be issued Lor each building.
<br />• • • �e= (.'L/FF .�W/TTIC� Buildinq Address � ��`�'SZn�O $r Sl�✓ .
<br />� '� l24 - 52 No Si. 5 �✓ � Lot �47 _ Hlock NDNE �
<br />• ; Eddress _ , ,
<br />• • • � ' ��r Es�EkETT Phone 353-722'f 5ubdi4ision (Plat) ._. ' •
<br />. ' Ischiteet/Engineer _ ��^'£_,,.Q __., N�GNLAND F�2r�5 N0. 2 � ' � '
<br />_• r,'.,=:f ;.i� _E✓ERETT Phone 353-72z� Metes 6 Bounds (Unplatte3) __
<br />:.; . , ' • Sec. '�P • R�e —
<br />:i . Gmtractor ow,vFR .� ____�_ . . .
<br />_ ..� . . .
<br />"• ':'•�.'' 21.�z�_:s /Z�f-SZuA ST. Sk/ •' . .
<br />. •.'i, City 6✓6aF_T7 Phone 353-72z�f �_ ' euilding Ose 5lN4L& F/;�"1%(./ RE&!�I`i5N�1,':
<br />... i; . . ' � � `,•y F ~
<br />� State License Na�aber r��^�'`- Describe S•7ork to 9e.Done
<br />. '�i � . . . � ..
<br />� . :.;� Er�iration Dat� "��!91= _ • 'AbD I-GM1Ly RDOM -
<br />� s,� � � • � SY.ETCN PLOT ?2�1i BELOFT' ' -- . � -` � �
<br />_ .-', ::� i • � .. . � . � Uce of. Bui].dirig RCS/AF_/JC.E -
<br />• ='� • � • • � ' ' �� •L]heW � Addition ❑ Repair/Remo^_el
<br />�' i ' '.. •• ' . ' i' , . . .
<br />� . ,;' . . •69.So^ � ' • 4aluation o£ Construction $_3000
<br />^ . . . • . -. .
<br />. �. . � :
<br />; •� . . � . . � .' � EIAT PT,F�LI FEQGI?t _",ENTS • • :.:
<br />,,,�• . ' ! - •:' . .-.:• ': . ''' • • . .
<br />� w
<br />' � ADDIT�A� ' N � � • •
<br />� � . . • Znaicate .lot size, na:ae of st.re�ts,
<br />�
<br />: : ' —�T�v-_� � � ' � - •indi.ca:e location zad widt?: c� - .
<br />' � � � � • �":. - alleysr locat� �ropos=ci -r.d all
<br />- .• . .' � � ... i�. � � .r .: � : C:'`I .' . � , ' ShC'.�G�'is'Lat:CLs
<br />o - •� • � � . - � existin9 build:ngs,
<br />. • ''� . °� - 4 • � ' . ��j,. • tp property lines, show cis;:ances
<br />, y ; _ � ,a , �;; • . . .
<br />. S � ' ` • � eS—�; ' r• . between huildin9s. , ,
<br />i. : ` � . �. • : • ' . -
<br />• ' :. , .. ' ' yat ::ize X SEF_.. SKF_TL H
<br />. . _ ,� ' � .� . ' m. �--�.�_
<br />.f . •; . .. " ss.'. , .... c. , : ' � Lot area 8650 � Sq. Pt.
<br />' : ..'. �..: • � �S' � • :o'� W.. ' .Size of Sldg. le90 Sq. Ft. � .
<br />. i` {.• � . ' , ;�• ' , w • • Number of Stories cniF
<br />. • . IIasement NOIJF
<br />:� . �• � . . . ,
<br />• f � --. . . _ :,
<br />Signed �y
<br />�a'_r ' • � . e3.q�'. . . • ' -- � '
<br />i�_ __ . - -� . vor.r,aE coa e � • ! Fnr � Phoae
<br />, _ Owner _.____----
<br />, -. � ri• '_ � ' . . . � �• , � ' �
<br />M i . .
<br />' ` . 'S2nv ST S�rJ _ x _ . • .
<br />. DO SOT S�:i?T� 9::=0F7 TllIS I.I:IE-POR CITY U..�,n OiILY' . ..
<br />: ' _ DdtC �:CC01VCd � Z 4'�'. �='C• ZOIIC '
<br />'%(n-'Z/¢ Fire Zonc ` .
<br />' Plan Chec;: :�urSer � � , •
<br />� � r
<br />. Yalua�ion � ����� v Occuoancy Grou�
<br />' ' ' " �J(�, G,_?tJ�_ • qyI>e of Constructian �V - h1•
<br />pemit rcc • '—
<br />• ' � � /.2 •� V' : Occupant Load ._
<br />' Ylan Chcck Fee , --. , , . .
<br />� Total Pcc Uue . �.�� �� Sprin):lers Re uir.ed ,
<br />C�TY Q� � ��
<br />� Datc Issucd • • ' ' '� � A�?PRQV�R'FOR'BUILD�NG PFR�91T �
<br />��__._-� .� •� •�. ' ' }1
<br />. •. . ... ' . . • • � bate ''��/z�./-r�,'.:• . By �'
<br />, • .. • �- �—._— _ __
<br />
|