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CITY OF EVERETT <br />DEPARTMENT OF COMMUNITY DEVELOPMENT <br />BUILDING PERMIT APPLICI,TIO:: <br />JDATE 7 / <br />ADDRESS OF CONSTRUCTION WORK <br />;L BLOCK L) 3 - 10 PLAT F s �= <br />LEGAL DESCRIPTION: LOT <br />UNPLATTED DESCRIPTION <br />PERMIT NO. <br />/VALUATION <br />PERMIT FEE <br />BUILDING DESCRIPTION: NEW ADDITION <br />$ OF UNITS <br />OCCUPANCY OR USE <br />IS THIS A CHANGE OF BUILDING OCCUPANCY: <br />CONTRACTOR <br />MAILING <br />ADDRESS <br />PHONE NUMBER <br />CONTRACTOR <br />J SIGNATURE <br />NOTE: THE APPLICANT SHALL FILL IN ALL ABOVE BLANI:S COMPLETELY INCLUDING <br />THE PLOT PLAN SIXETCH ON REAR OF THIS SHEET. TIIE APPLICANT IS RESPONSIBLE <br />FOR ALL INPOR:•IATION WHICH IS FURNZISHED ON THE APPLICATION- ANY CHANGES <br />IN THE INFORIATION, PLOT PLAN OR BUILDING PLANS SHALL BE SUBMITTED TO THE <br />INSPECTION DIVISION FOR APPROVAL BEFORE PROCEEDING WITH TIIE CONSTRUCTION <br />WORK. fn� <br />APPROVAL: <br />REMODEL <br />OR REPAIR <br />STORIES <br />YES orAC. 4N� At 0( <br />OWNER <br />HAILING O 3 <br />ADDRESS <br />PHONE NUMBER <br />1. PLANNING <br />2. ENGINEERING <br />TRAFFIC DIVISION <br />WATER SERVICE <br />SEWER SERVICE <br />PUBLIC SERVICE SECTION <br />?. INSPECTION DEPARTMENT <br />4. FIRE MARSHAL <br />DATE <br />NOTE: ALL CONSTRUCTION WORK SHALL COMPLY WITH APPLICABLE CODES, NOTES <br />ON DRAWINGS, AND INSPECTIO14S <br />