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Applicant TO Complete anis •�� /��� ���5 <br /> IE more than one building is to be contructed, submit a separate permit applica- s <br /> tion for each building. A separate permit will be issued for each building. f <br /> Owner _ Building Address <br /> Lot <br /> Address ��s=�� Block <br /> City <br /> Phone 7,0'40'6/ Subdivision (Plat) � ' rrej 1 <br /> �-✓ <br /> I <br /> Architect/Engineer � I <br /> City Phone �_ Metes i Bounds (Unplatted) <br /> Contractor ire <br /> l.! AL 1 CvNs) e'o Sec. TwpRge � 1 <br /> . 1/ J <br /> ' Address <br /> City �� Phone '7�j- 7�7/ Building Use <br /> State Li ense Nurber ?;' 0�-//7o7y Describe Work to Be Done <br /> N <br /> 7 7'75 —_ !✓ n,GC nom -L( ➢��� Qu..,+� i <br /> Expiration Date _� 1 �� ����� <br /> SPETCH PLOT PLA:7 BELOW � <br /> Use of Building <br /> ❑Hew ❑ Addition gRepair/Remodel <br /> Valuation of construction $ 6 . <br /> PLOT PLAN REQUIRE?IENTS <br /> Indicate lot size, name of streets, I <br /> indicate location and width of <br /> alleys, locate proposed and all <br /> existing buildings, show distances <br /> to property lines, show distances � I <br /> " between buildings. <br /> ) <br /> Lot size x <br /> Lot area _ Sq. Ft. <br /> Size of B dT g Sq. Ft. <br /> Number of Stories <br /> vasenent <br /> Signcd By <br /> For <br /> /C tff4 <br /> — <br /> Cnwncr Pnone - <br /> t <br /> DO NOT WRITE BELOW THIS LINE-FOR CITY USE ONLYolte ' <br /> 1 /_ U:e "one — <br /> .�-- Fire Zone — - <br /> Valuation �.51 Q •�' Occupancy Group <br /> �00 Type of Construction <br /> Perm. it Fee — <br /> Plan Check Fee <br /> occupant Load --- <br /> Ste- _.____ Fprinklers Required <br /> Total Fee Du <br /> Date issued ._ CITY OF EVERETT <br /> APPR V�D FOR [3UILDIN; PERMI i <br /> Deter S By <br />