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CITY OF rvrRETT'\ <br />PERMIT <br />NO. <br />3,j � <br />DEPARTMENT OF COMMILN 'PY DEVELOPM3NT <br />a ;>/ <br />BUILD_iNG PERldIT AFPLICATIOIJ <br />VALUATION <br />�Sl,(l, <br />DATE ;�-�/- J 1 <br />PERMIT <br />FEE <br />ADDRESS OF CONSTRUCTION WORK <br />LEGAL DESCRIPTION: LOT I <br />BLOCK 5 76 L' <br />PLAT <br />l <br />UNPLATTED DESCRIPTION <br />-5 7l b- 00 -!t <br />7Za � <br />BUILDING DESCRIPTIONJ: NEW ADDITION REMODEL--- <br />- OR REPAIR v <br />#'OF UNITS / OCCUPANCY OR USE STORIES <br />IS THIS A CHANGE OF BUILDING OCCUPANCY: YES NO <br />CONTRACTOR � ��3-0//// 7/ <br />OWNER <br />MAILING MAILING <br />ADDRESS ///D6 `�2�;n �) -r ADDRESS <br />PHONE NUMBER ?.L ' ft' P PHONE NUMBER <br />CONTRACTOR'S LICENSE NUMBER Z23 "O ( - I t % -7) <br />SIGNATURE <br />NOTE: THE APPLICANT SHALL FILL IN ALL ABOVE BLANKS COMPLI=LY INCLUDING <br />THE PLOT PLAN SKETCH ON REAR OF THIS SHEET. THE APPLICANT IS RESPONSIBLE <br />FOR ALL INFORI•LyTION t':HICH IS FURNISHED ON THE APPLICATION. ANY CHANGES <br />IN THE INFORMATION, PLOT PLAN OR BUILDING PLANS SHALL BE SUBMITT D TO THE <br />INSPECTION DIVISION FOR APPROVAL BEFORE PROCEEDING WITH THE 7CTRUCTION <br />WORK. <br />APPROVAL:� <br />1. PLANNING DATE <br />2. ENGINEERING <br />TRAFFIC DIVISION) <br />WATER SERVICE <br />SEWER SERVICE <br />PUBLIC SERV::CE SECTION <br />'. INSPECTION DEP�RTMENT <br />4. FIRE MARSHAL <br />NOTE: ALL CONSTRUCTION h;OIZK SHALL CO>IPLY WITH APPLICABLE CODES, NOTES <br />ON DRAWINGS, AND INSPECTIONS <br />