Laserfiche WebLink
CITY OF EVEVETT <br />DlXj41R'i1il::lT OF CO::IUNIT1' DE:'IilAl'?ii NT <br />1;U1,1,I)ING PEl.MT APPLICATION <br />ADDRESS OF CONSTUCTION WOO ✓ <br />LECAL DESCRIPTION; LOT 4 ,% BLOC:: <br />N K Cltl is <br />UNPIATTED DESCRIPTION: <br />r� <br />M.11*11T No. / G 9y <br />VALUATION Meld. oo <br />PERMIT 1:1'.E / c7, e2D _ <br />PLh'L`R1 � <br />I:i:Fl0lliiL � ©x <br />BUILDING DESCRIPTION: NEW ADDITION c,r REPAIR -, <br />OCCUPANCY OR USE 11EIMITS 1.11 STORIES _ <br />IS TilTs'A CIVuCGIi 0? rmI .DIT:G OCCUPANCY: YES NO ,L1 <br />CO\TIV CTOi:� lE c F�_�A 4��? OWNER <br />MAILING ILAILII G <br />AJDDDR iSS ). C ADDRESS � Q� r% tQaL- / 12 <br />P11WE NUIMBER _ ,[�� PHONE1tG1LER <br />]SC' S1 CR r.i.EP. =:3 _0 <br />SIGNATUiIE — <br />NOTE: Till: APPLT.CA::T S':�1+LT, PILL IN ALI, A1;0V1: BT10"CS C0:'-nL1:T%LY I1:CLUDING Tllli PLOT PIAN <br />Slai'1'iii G:i RF '+i: Cc '?IiIS s NET ' T. THE APPLM:: IS REsjoO SIM E PO ALL I:�FO'r.' hTIO\ V! ICII <br />IS 1'0ili;I3III:D 0:'. TiI AP'.`I,CC..',TI0:1, ANY Cil:.::GES IN TEE CI:c0; ?i_TC' :+ PLOT Pi.1.:1 OR EL; IXI.NG <br />PLATS slIALI. BE SU1::1ITr-M.. TO THE INSPECTION DIVI.SIO:: FOR APPROVAL BE ORE Pi:OCEEDI's <br />WITH THE CO:ISTRUCTIM 110::K. <br />AP11R01'AL: <br />1. 1'Ll+NINING. DATE <br />2. I-INGINEERIRG <br />TRAFFTC DIVISION: <br />WATER si:RVICE _ <br />SEMI Sl:IIVICI; _ <br />PUBLIC SERVICE SECTION -_ <br />3. INSPECTION DEPARTHMINT 2- 7-7 <br />4. FLEE'• laA,S11AL <br />NOTE: ALL CONSTRUCTI0:1 VOID: SUALL COMPLY WITH APPLICABLE CODES, NOTES Oii DP.AVINCS, AIM <br />1114I N :T)WS <br />