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a <br />CITY^ OF EVERETT PERMIT NO. 5 <br />DEPARTMENT OF COMMUNITY DEVELOPMENT <br />BUILDING PERi1IT APPLICATION VALUATION ,Q <br />r� PERMIT FEE <br />DATE T — �} — �� <br />ADDRESS OF CONSTRUCTION <br />WORK <br />`/ } 4 <br />c- /— /--'? v <br />e <br />LEGAL DESCRIPTION: LOT <br />, / <br />BLOCK 3 g(� <br />PLAT; <br />UNPLATTED DESCRIPTION <br />BUILDING DESCRIPTION: NEW ADDITION l4Isd offiiT <br />OR REPAIR <br /># OF UNITS OCCUPANCY OR USE we s STORIES ;;_I <br />IS THIS A CHANGE OF BUILDING OCCUPANCY: YES <br />CONTRACTOR <br />MAILING <br />ADDRESS <br />PHONE NUMBER <br />CONTRACTOR'S LICENSE NUMBER <br />f 1t"k ll01110 <br />NO <br />OWNER <br />MAILING <br />ADDRESS <br />53 fie/ - <br />PHONE NUMBER 2 1; ,? — �2 5 5 <br />NOTE: THE APPLICANT SHALL FILL IN ALL ABOVE BLANKS COMPLETELY INCLUDING <br />THE PLOT PLAN SKETCH OI4 REAR OF THIS SIIEET. TIIE APPLICANT IS RES?ONSIBLE <br />FOR ALL INFORI•LNTION 4;HICH IS FURNISHED ON THE APPLICATION. ANY ChANGES <br />IN THE INFORMATION, PLOT PLAN OR BUILDING PLANS SHALL BE SUBMIT TO THEINSPECTION DIVISION FOR APPROVAL BEFORE PROCEEDING WITH THE d TRUCTION <br />WORK. <br />APPROVAL: <br />1. PLANNING <br />2. ENGINEERING <br />TRAFFIC DIVISION <br />WATER SERVICE <br />SEWER SERVICE _ <br />PUBLIC SERVICE SECTION <br />?. INSPECTION DEPARTMENT <br />A. FIRE MARSHAL <br />DATE <br />NOTE: ALL CONSTRUCTION IdORK SHALL CO,IPLY WIT❑ APPLICABLE CODE'S, NOTES <br />ON DRAWINGS, AND INSPECTIONS <br />