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i <br />• ( DQILDIIIG PERMIT APPLICATION '/ ✓ N <br />i Applicant To Complete This Form 8 <br />. <br />' If more than one building is to be contructed, submit a separate permit <br />applica-tion for <br />Acacti building. A separate permiu will be iusued for each building` /,• <br />timer I� V� �Ii+ilrr P1�; a�'f i n� Building Address '/ �e 10 [T <br />• EBdr'ess / t o 0 % � / � LotFZrLj jLjjf &/mock el n n• <br />city/�'ti r' ✓ Phone Subdivision (Plat) to <br />Architect/Engineer <br />• `+ `_1 City Phone I -fetes & Bounds (Unplatted) <br />Contractor Sec. Tup. Rge <br />.1,ddross / , <br />+ -.f,'ity Phone lluildinq Use (,-Al -AyO P <br />' State. License Numb= Describe Work to Be Done ' <br />Er <br />.Piratidn Datt <br />. a� •" SmICH PLOT PIJdI BELOW' <br />Use of. Building _ <br />V ,,�� <br />e• .', iMlicw ❑Addition (3Repair/RunoBel <br />i' <br />Valuation of Construction <br />q SSy . 6• •. - '.PLOT PLAT+ REQUIRLIENTS <br />�. <br />Indicate lot size, name of streets, <br />-indicate logation and width of <br />(� �•Q> ��1: •' alleys, 'locate proposed rr.d all <br />Wit•' existing buildings, show distances <br />1. t��• y to property lines, sh',w distances <br />a J� between.buildings. <br />-- ix A �l f Aot size x <br />,•L - +� ' i c Lot area Sy. Ft. <br />'Size of BT97F — Sq. Ft. <br />C Itumbor of Stories <br />q .J Basement _ <br />1• nc)6 73w: or <br />/ !rimer Phone <br />AO NOP InITE BELOW THIS I,INfi-FOP• CITY USfi Oil= <br />Date Received U:.e Zone _.. <br />Plan Check :lui;bor '- r1 t f Fire Zone 3 <br />1'alcrt:ion `S _ 7 (rC ��' Occupancy Group T <br />rornit Fee a. `i• �" `�` Typo of Construction <br />Plan Chech Fco fr(' C1 Occupant Load <br />Total Fee Due 3 (C C ' C , 8prinkl6rs Required _ <br />CJTY OF EVERETT+ <br />APPROVED- FOR.-BW! D)Nfd -PERMIT <br />OateBy <br />