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Ui 1'Y OF EVERETT PERMIT NO. <br />DEPAR7TIENT OF col—mUNITY DEVELOPM.-NT <br />BUILDING PERMIT APPLICATION VALUATION <br />PEIU4IT FEE &SL <br />DATE <br />ADDRESS OF CONSTUCTION WORK <br />LEGAL DESCRIPTION: LOT 2 BLOCK Z <br />UNPLATTED DESCRIPTION: <br />REMODEL --' <br />BUILDING DESCRIPTION;. NGW _ ADDITION il' or REPAIR <br />OCCUPANCY ol1 us1: y P. N <br />IS THIS A CHANGE OF BUILDING OCCUPANCY: <br />CONTRACTOR <br />MAI),ING <br />ADDRESS C/✓Cke7I' /r/ 5-e-k0L <br />P11031M NUNIER <br />CONTRACTORS LICENSE NUMBER <br />SIGNATURE <br />HEIGHTS IN STORIES <br />YES .. No / x <br />OWNER - <br />MAILING rr ,LL <br />ADDRESS Tt/P.YCsT� <br />PHONE HI BIER <br />52 -.?,06 <br />NOTE: THE APPLICANT SHALL FILL IN ALL ABOVE BLANKS COMPLETELY INCLUDING THE PLOT PLAN <br />SRRTCH ON REAR OF THIS SHEET. T)U` APPLICANT IS m5PONSuvl POR ALL INFORP;ATION MICH <br />IS FURNISHED ON THE APPLI:C13ION.. ANY C1IANGES IN THE INFOIII-MION, PLOT PLAN OR1110ILDING <br />PLANS SHALL BE SUBMITTED TO THE INSPL-MION DIVISION FOR APPROVAL BEFORE PROCEEDING <br />WITH THE CONSTRUCTION WORE. <br />APPROVAL: <br />1. PLANNING • �K S i -� 3���% DATE <br />2, ENGINEERING <br />TRAFFIC DIVISION <br />wal"R SI;RVICIi <br />SEWER SERVICE <br />PUBLIC SERVICE SECTION <br />3. INSPECTION DEPARTMENT.' <br />4. FIRE MARSHAL <br />NOTE: ALL CONSTRUCTION WORK SHALL COMPLY WITH APPLICABLE CODES, NOTES ON DRAWINGS, AND <br />INSPECTIONS CITY OF EVERETT <br />APPROVED FOR BUILDING PER IT <br />Oate 3/ 6 Y <br />