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CITY OF EVERETT <br />DEPARTMENT OF CM—RINITY DEVELOPMENT <br />"BUILDING PERMIT API'LICAI'ION <br />DATE 4� 7 <br />ADDRESS OF CONSTUCTION WORK <br />LEGAL DESCRIPTION: LOT a 3 BLOCK <br />UNPI.ATTU DESCRIPTION: <br />P%I tIIT r10. / oL�zz-1411 <br />VALUATION aarb ?a <br />PERMIT FEE <br />PLAT /-I-J %7 xCn /iU.;j <br />BUILDING DESCRIPTION: I7EW P.DDITION or REPAIR <br />OCCUPANCY OR USE HEIGHTS IN STORIES <br />IS THIS A CIULLNGE OF BUILDING OCCUPANCY: YES NO <br />CONTRACTOR �l ° 7; �f�.. c-e/ G MINER i q 4 A !?e-1, <br />MAILING MAILING <br />ADDRESS Z 4 02 7 SU%' ADDRESS _ 3n(M ra di c n r ) <br />e _ �i/P�tiz4 �• _ <br />PHONE hMMER %7 is �' -/ PHONE N1.17111,ER <br />CONTRACTOR'S LICENSE NXMER 2 2 30 y ? L <br />SIGNATURE / �` Z��h -� <br />NOTE: THE APPLICAIiT SU.LL FILL IN ALL ABOVE BLAI.CS CO'21ETELY INCLUD11,G THE PLOT PI,PA <br />SM,Ml ON REAP. OF THIS SHEET. THE APPLICANT IS RPSPONSIBLE FOR ALL INFO-MATION WHICH <br />IS FU NISHED Oil TU, APPLIC.'MON. ANY CIIANGES IN WE INFORMA5'ION, PLOT PLAN OR BUILDING <br />PLANS SHALL BE SUBMITTED TO THE INSPECTION DIVISION FOP. APPROVAL BEFORE PROCEEDIN", <br />WITH TILE CONSTRUCTION-VORP.., <br />APPROVAL: <br />I. MNNINc. i DATE <br />2. ENGINEERING <br />TRAFFIC DIVISION <br />WATER SERVICE <br />SEWER Si.RVICE <br />PUBLIC SERVICE SECTION <br />3. INSPECTION DEPARTMNT . %- <br />4. FIRE IMS11AL <br />S~/ 7-Zq- __- <br />NOW"': ALL CONSTRUCTION WORK SHALL COMPLY WITH APPLICABLE CODES, NOTES Oil DRu:FiINGS, AND <br />INSPECTIONS <br />