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CITY OF EVERETR` <br />D�PAR'P�iL'NT OF CC;1:dUNITY PF•,VELOPMENT <br />BUILDING PER�IIT APPLICATION <br />DATE � �r�l � I�l ��� <br />ADDRESS OF CONS`iRUCTION T40RK <br />LEGAL DESCRIPTIOi7: I,OT .��p �,g <br />UNPLATTGll DESCRIPTION <br />f <br />Pr7ILDING DESCRIPTION: <br />�I OF UNITS <br />BLOCK <br />NES9 _ ADDITIUi� <br />OCCUPANCY OR USE <br />IS THIS A CHANGE OF BUIL•DING OCCUPANCY: <br />CONTRACTOR �l}�(�Q�. �1� i���. �- D <br />MAILING ,� I <br />ADDRESS � <br />�1 \ 4Q R'�� <br />c <br />PHONE NUMBER ��i� � � �G � _ <br />CONTRACTOR' <br />SIGNATURE <br />0 <br />YES <br />. � <br />PERMIT N0. �� J�O � <br />VALUATION f" '1Xo1�J., C)C) ' �/� <br />PERMIT PEE <br />YLAT � \ <br />n.flA <br />' ���� <br />GI., F „ ,. , I .1n..� C ^�o� <br />REMODEL �`��`�`' '� /x��O � <br />OR REPAI ��'����'f'`�100� <br />� �e�v- <br />STORIES ��S�Cn <br />_ NO� `� <br />OS4NER � �� �i �� Yl ..lbl"l'Ll <br />MAILING \ �,,-{� <br />ADDRESS ��� �,(n"_` � <br />� � �C �l Q <br />PHONE NUMBER ��Y]� - l� ����1 <br />T�a�-t;r-i���� <br />NOTE: THE APPLICANT SHALL FTI�L IN ALL ABOVE BLANKS COMPLETELY INCLUDING <br />THE PLOT PLAN SK�TCH ON REAR OF TIiIS SHEET. THE APPLICANT IS RESPONSIBLF <br />FOR ALL INFORMATION WHZCH IS FURNISHED ON TIiE APPLICATION. ANY CIIANGES <br />IN THE INFORBSATIO?�, PLOT PLAN OR BUILDING PLANS SHALL BE SUBMITTED TO TIiE <br />INSPECTION DIVISION FOR APPP.OVAL BEFORE PROCEEDING IdITIi THE CONSTRUCTION <br />WORK. <br />APPROVAL: <br />1. PLANNING •G• �� �� P'' <br />2. ENGINEERING �_. <br />T_RAFr2C DIVISION <br />S•:iaTER SERVICE <br />SEW�R SEI2VICE <br />PUBLIC SEFVICE SECTION <br />?. INSPECTION DEPARTMENT }'�% ��/9 4- <br />-� -- <br />4. I'IR'.: t•IARSHIIL <br />DATE <br />NOTE: ALL CONSTRUCTION S�'ORK SHALL COASPLY j4ITlt APPLICAIILE CODES, NOTES <br />ON DR71T �NGS, AND I[�SPBCTZONS � <br />i <br />S� <br />i <br />