Laserfiche WebLink
CITY OF EVERETT <br />DrPAR'lMl`.NT OF CO::?iUIIITY 1)EVELOPl•lGNT <br />4 1UILDING PERMIT APPLICATION <br />DATE <br />ADDRESS OF CONSTUCT'ION WOIU: _ 3 c/ Z / Nov 7` <br />PER_*SIT NO. <br />VALUATION <br />PERMIT FEE <br />LEGAL DESCRIPTION: LOT /5'-/6r BLOCK Y2.3 PLAT Cvckc7t <br />UNPLATT'ED DESCRIPTION: <br />BUILDING DESCRIPTION: NEW ADDITION of REPAIR f./ <br />OCCUPANCY OR USE <br />HEIGHTS TN STORIES <br />IS THIS A CHANGE OF BUILDING OCCUPANCY: YES' NO L—. <br />CONTRACTOR 57n,)Z t!ea , Zl�tp •,•v.NT Go OWNER &tMrS r•/iiy/cn. fi,_ •.+rr <br />NAILING MAILING <br />ADDRESS ADDRESS 3Y.�l /,lvx/° <br />PRONE NUMBER �s-3 - �12 PHONE NIMIM <br />CONTR/,CTOR' S LIC.".::SR NUifi1L'R 7 2J —o /___—.-- <br />r <br />SIGNATURE <br />NOTE: THE APPLICANT SHALL FILL IN ALL ABOVE BI AM.'S CO:SPLETELY INCLUDING TIII: PLOT PI AN <br />SKETCH ON REAP. OF THIS S11%ET. - THE APPLICANT IS RESI,MSIBLE FOR ALL INFO21-MION S UICI: <br />IS TURN In"l1ED ON THE APPLICATION. ANY CHANGES IN TF:£ INFOII:•LITION, PL ' PI.431 OR ELII,DING <br />PLANS SHALL BE SUI',:•fITII:D TO THE INSPECTION DIVISION :'OR APPROVA BE R6 PROCEEDII•G <br />WITH TIIE CONSTRUCTION VORK. <br />' APPRON%L: <br />1. PLANNING. <br />2. ENGINEERING <br />TRAFFIC DIVISION _ <br />i WATER SERVICE <br />SENER SMICE <br />PUBLIC SERVICE SECTION <br />3. INSPECTION DEPARTMENT <br />4. FIRE 11ARSHAL <br />DATE <br />NOTE: ALL CONSTRUCTION WOrd, SHALL COMPLY WIT11 APPLICABLE CODIi NOTES ON DRAWINGS, AND <br />INSPECTIONS <br />