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` / //( y/-'�/� <br />It more•than one buildinq is to be contructed, submit a separate permit app::ica- �- <br />tfqn for each building. A separate permit will bc issued for each buildin . � <br />' qmer Jai»� � ✓%� � ��.,• �••-' Buildinq Address ���`� �� - a.�' �� `S% . ; <br />' iddress ='�/.� -// � N 5� '� i�' Iat �/ �' f J Block /�f; _' <br />. • , City �u� /�_ Phone _`�.s y,',•,•7 ;' Subdivision (Plat) i.:i.. �.. ,�iP�F� :.,. it • - <br />� <br />� • , � ./�l .l.' - C.,d<. %%� _ <br />� lrchitect/Engineer <br />''� City Phone _ Metes 6 Bounds (Unplatted) ; <br />_ -_ =� R9e <br />Coatractor � - Sec. �'P- <br />� , _ <br />♦ <br />1lddress <br />City <br />State <br />:� / <br />� � .. <br />/� ' <br />� � <br />2 <br />, _ � <br />Phone Buildinq Use c'� �- �• f�o•� � ";� a: <br />` _ / � - ' -;� .'. <br />� Describe Work to Be Gone , <br />, ' ' - <br />v� <br />% ' - <br />pyAS�BELOW' . <br />� IIse of Building �c�.n � <br />. • � �New ❑ Addition ❑ Repair/Remociel <br />. . . - <br />' " Valuation of Constzuction 5 '� �_ <br />�' - <br />.���y�:=.l c . ' % <br />'\ _ <br />a4 • <br />'- <br />a I�"> <br />i <br />I . <br />. . pyOT PLAt7 REQUIR�'•IE:ITS . <br />Indicate lot size, nane of s:reets, <br />indicate location a^c wicth c: <br />allcys, locate pronosed ar.d all <br />existing buildi:gs, sno:a distances <br />to property l:nes, show distances <br />between buildings. <br />Lot size _}�= X '' f�'� <br />Lot area £?. Ft. <br />Size of B1dg. iri Sa. Ft. <br />pumbez of Stories n �c <br />Basement �'� <br />�.. <br />Signed By V � � <br />i <br />For �' i'/ e <br />Owner Phone i :. � •; �: <br />� � <br />I-' --,• DO NO'= S:^.2?'_" ?':�-Ot7 T".Ij LI:IE-PCR Ci':Y USc. Oi7L'f <br />Date S�ceived " D:.e Zone �L- Z _ <br />Plan Check ]7ur.ber <br />7�-i 4 3 <br />valuat:o� 2�0�� <br />Pemit Fee 9�'�� <br />Plan Check Fee �8• �� <br />1bta1 Fee Due ! � `T O � <br />Date Issucd <br />Fire Zonc <br />Occunancy Grou� 1 <br />Type of Construction �- ' �'-� <br />Occu.p�nt ioad <br />Sp::�.nklers Required <br />. . CITY Of EVERETT <br />APPROVED FOR BUICDIf�G PERMl1" <br />Date���t�1'� py �_C — <br />� <br />� <br />