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id01LDING PERMIT APPLICATION ; <br />--•, Applicant To Complete This :orm y <br />than one buildin7 is to be contructed, submit a separate permit applica <br />if more - <br />Lion for each building. ,1 separate permit will be issued for each building. <br />Over <br />l�lll 1 SON-�I• Co building Address <br />' . <br />E A U La.R`1L 1 Block <br />1 ' Address �/n 57 _).) 2 `L3L =-0 -- <br />City <br />E177LE Phone SnbdiVis&ior. (Plat) <br />�� oN© NDujT/1IAC L' <br />' Architect/Engineer 'ISBP-4E' i0W J RRa <br />! t l City Phone 4 -5 3`t 3te Elates a Bounds (Unplatted) <br />1 contractor uJI Lt, GO►USZ C r] Sec. Twp• Rge <br />c Address ` 5-lo <br />2Z -f Building Use <br />• '� <br />f cite lj�-pTTL� Phone S _ •-?;;•;+y.. <br />01 Describe Work to Be Done <br />State. License Number <br />I Erpirati.on Dates <br />ST.ETCR PLOT PLAN BELOW' i <br />06a of Building <br />New ❑Addition 0 Repair/Remo :el <br />OJ, •t <br />•t.. <br />Valuation of Construction S �,O 1 <br />PLOT PLAN REQUIPr."1ENTS i c <br />s•. Indicate lot size, name of streets, <br />'•' • . -indicate location and width of - <br />"" <• alleys, locate proposed and all <br />:' .. existing buildings, showdistances <br />to property lines, show distances <br />1 = ~ between buildings. <br />Lot size x <br />.Lot area Sq. Ft. <br />So. Ft. <br />•i' Size of B1 g. � <br />• �. Number of Stories _�— <br />'� Basement n_- <br />•1 �R "►ram <br />�.•.� Signed By LLD <br />Por <br />Owne► Phone µ5T M_= <br />DO NOT 117ITE BE!017 TNIS LIIIE-FOR CITY USE OEIL'L �— <br />Date!:oceived to1-17C QL'o•Zone _ <br />Piro Zone <br />Plan CScck,:Iucber 75- <br />3 <br />occupancy Groin <br />Valuation <br />Pewit Fce Type of Construction <br />Plan Check Fee occupant Load <br />Total Fee Due Sprinklers Required <br />;CITY 'OF 'EVERETT <br />Date Issued •-APPROVED FQR•'BQtLDING KRMIT <br />BY — <br />