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CITY OF rVl:l:li1"f PIiRT11"1' NO, <br />D1;11 <br />AI:'1'Illin'I' 01' CO::?II1:r'I'1')' UI:1'IiI,UPIIIiFlT` DATE ISSUED--� 7 <br />CONSTRUCTION PERMIT APPLICATION VALUATION _ /J V ° <br />PEIRMIT FEE �1 <br />Dnrr Cam, �!, , <br />ADDRESS OF CONSTUCTION WORK i s rzr� <br />LEGAL DESCRIPTION: LOTyT ))LOCK % PLAT <br />UIJPI,hTTI{U DrSClt]:P1'IO:J: <br />B11ILD]:NG DI'sSCRIPTION: )lliW AJ)llIT]:ON or REPAIR <br />OCCM-%NCY Olt USH _�4, q{ -tyT : . 11HICH'TS IN ,STORIrS _ 1. esTo..0 <br />IS THIS A CHANGE OF BUILATI:O OCCUPANCY:' YES <br />C� <br />CONTRACTOR �! .S �— o JZariLiilyftt/� 0)JtTlt • 1!'�9LC/, x "'y <br />HAILIKC MAILING <br />Api11L'.".s ADDRESS <br />PHONE Nul-W'r <br />CONTRAXT01"S LICENSE NU)1i)13M <br />SICFJATURE <br />PUMN KLR•L']ilt <br />IJOTId: , TIM 'APPLICd::T S:IL) I. FILL IN ALT, 10M r hI t:N0 CO'JPLRTELY INCLUDI= THE PLOT PI M <br />SI TC11 Oil Rl?Llt Cl.* THTS C1% 'T. T111'" AI'P L1.C.MT IS It13SP6,&IBI:: rD:t ALL Ii;: OW.'WiIO:J W11IG11 <br />IS FOi:iJ7,•:L'!:i, 0?: ^!:1C i•P1'1:Y(:':!');1?:. /��!}' CIiS IN ( �' 1 t i IIIIIl1G <br />TLr. Ii.. i.:ii.'.IO:. PLOT PLAN' 01 ']] 1 <br />PI.IMS ;:11.',t,P, 19'; ,g;rt;:•!).1'iliD TO 71'i; Ii:SI':i(:1.'IO:'1 DIVISION FOR AI'P^- CIV iL DEFOia' P1:OCL•'EDIY.C. <br />WITH THE CONSYI,11i;xION 1•:011.1C, <br />APP1i0''.1L: <br />1. PJANKiNG <br />2, <br />HNGI1•:I:FRINC _ <br />THAPPIC DIVISION <br />S1:1)ER ;!'RVICV <br />APPLICATION RECEIVED BY <br />3. .INSPL••Cl'IOF1 Di:"AR'l; cm, <br />/F.. 11:10i )141:SHAL <br />DATr <br />NOTK: ALL CO:jNTI:IICTI:OII WO1:1C SUALL CO: WIN I:II'll APPLICABLE' CONKS <br />F10'1.'li..; 014 DI:LIdIIlCSs AND <br />1 NS l'rtCl').0:)S <br />CITY OF .EVERETT <br />AP_PROVEp�. FOR BUILOIVNIIT. <br />