Laserfiche WebLink
r <br />!+ <br />CITY .Or EVERETT <br />DEPARTMENT 01' COMMUNITY DEVELOPMENT <br />BUILDING PPIIJ•lIT APPLICATION <br />PERMIT NO. _ J�-/ / _ <br />VALUATION <br />PERMIT FEE <br />a <br />DATE <br />ADDRESS OF CONSTRUCTION WORK CA3c 4b4r lllcl� S;el6L 901 CqS� v0 r�li�cn7>- <br />LEGAL DESCRIPTION: LOT BLOCK <br />UNPLATTED DESCRIPTION k A Tt.a ti <br />PLAT <br />REODEL <br />BUILDING DESCRIPTION: NEW �_ ADDITION ORrIREPAIR <br /># OF UNITS OCCUPANCY OR USE GyrtLt+n dtr STORIES (__ <br />IS THIS A CHANGE OF BUILDING OCCUPANCY: YES NO <br />CONTRACTOR OWNER NAa , ;r tatl,,, <br />MAILING qmc' MAILING <br />ADDRESS ADDRESS 473o Col-&y <br />PHONE NUMBER <br />CONTRACTOR' <br />SIGNATURE <br />61)t�xo-TT- cAA lylo3 <br />PHONE NUMBER 3 11- 714Y <br />NOTE: THE APPLICANT SHALL FILL IN ALL ABOVE BLANKS COMPLETELY INCLUDING <br />THE PLOT PLAN SKETCH ON REAR OF THIS SHEET. THE APPLICANT IS RESPONSIBLE <br />FOR ALL INFORMATION WHICH IS FURNISHED ON THE APPLICATION. ANY CHANGES <br />IN THE INFORMATION, PLOT PLAN OR BUILDING PLANS SHALL BE SUBMITTED TO THE <br />INSPECTION DIVISION FOR APPROVAL BEFORE PROCEEDING WITH THE CONSTRUCTION <br />WORK. <br />APPROVAL: <br />1. PLANNING t7 DATE <br />2. ENGINEERING <br />TR2iFFIC DIVISION <br />WATER SERVICE <br />SEWER SERVICE <br />PUBLIC SERVICE SECTION <br />?. INSPECTION DEPARTMENT <br />4. FIRE MARSeJAL <br />NOTE: ALL CONSTRUCTION WORK SHALL COMPLY WITH APPLICABLE CODES, 14OTES <br />ON DRAWINGS, AND INSPECTIONS <br />