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CITY OF EVERETT <br />DEPARTMENT OF COMMUNITY DEVELOPMENT <br />BUILDING PERMIT APPLICATION <br />DATE io- Q -7 4 <br />F_ YEr <br />ADDRESS OF CONSTRUCTION WORK <br />ya; <br />LEGAL DESCRIPTION: LOT <br />UNPLATTED DESCRIPTION <br />BLOCK <br />PERMIT NO. ;'�•r�' �— <br />VALUATION <br />PERMIT FEE —� <br />'P[6. GK '1 <br />PLAT <br />ra <br />/vf.W fr-- gj^ l REMODEL <br />BUILDING DESCRIPTION: NEW ADDITION �_ OR REPAIR <br /># OF UNITS �iUFG OCCUPANCY OR USE /=' Z. STORIES <br />IS THIS A CHANGE OF BUILDING OCCUPANCY: <br />CONTRACTOR W '(e 6. WST• 60. <br />MAILING �y <br />ADDRESS <br />PHONE NUMBER MIX ¢"/S✓/'D <br />CONTRACTOR'S LICENSE <br />SIGNATURE <br />YES _ No X <br />OWNER iU$O/V 7 Vxe. CID• <br />MAILING <br />ADDRESS 5 CU/21916S /031 <br />eArrtz- <br />PHONE NUMBI.R �j2?J 8740 <br />NOTE: TIIE APPLICANT SHALL FILL IN ALL A130VE BLANKS COMPLETELY INCLUDING <br />THE PLO1' 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 TIIE CONSTRUCTION <br />WORK. /T 1 I {/o/] <br />APPROVAL: <br />1. PLANNING _ DATE <br />2. ENGINEERING <br />TRAFFIC DIVISION - <br />WATER SERVICE <br />SEWER SERVICE <br />PUBLIC SERVICE SECTION _ <br />?. INSPECTION DEPARTMENT <br />4. FIRE 14ARSIIAL <br />NOTE: ALL CONSTRUCTION WORK SHALL COMPLY WITH APPLICABLE CODES, NOTES <br />ON DRAWINGS, AND INSPECTIONS <br />