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CITY OF EVERrT'i PERMIT NO. z F57 <br />/ <br />DEPARTMENT OF COMMUNITY DEVELOPMrNT <br />BUILDING PERMIT APPLICATION VALUATION <br />PERMIT PEE <br />DATE <br />ADDRESS OF CONSTUCTION WORK <br />LEGAL DESCRIPTION: LOT_ BLOCK PLAT�IIF'I'C :'i �l✓. �tr <br />UNPIATTED DESCRIPTION: <br />REMODEL <br />BUILDING DESCRIPTION: ' d / L��'J ADDITION or REPAIR <br />OCCUPANCY OR USE HEIGHT'S IN'STORIES <br />IS THIS A CHANGE OP BUILDING OCCUPANCY: <br />CONTRACTOR <br />MAILING <br />ADDRESS <br />PHONE NUMBER <br />CONTRACTOR'S LICENSE NUMBER <br />SIGNATURE <br />YES <br />OWNER <br />MAILING <br />ADDRESS <br />PHONE NUMBER <br />NO <br />NOTE: THE APPLICANT SIU.T.L PILL IN ALL ABOVE BLANKS COMPLETELY INCLUDING THE PLOT PLAN <br />SKETCH ON REAR OF THIS SHEET. THE APPLICANT IS RESPONSIBLE FOR ALL INFORMATION WHICH <br />IS FURNISHED ON THE APPLICATION. ANY CHANGES IN THE INFORMATION, PLOT PLAN OR BUILDING <br />PLANS SHALL BE SUBMITTED TO THE INSPECTION DIVISION FOR APPROVAL BEFORE PROCEEDING <br />WITH THE CONSTRUCTION WORK. <br />APPROVAL: <br />1, PLANNING DATE <br />2. ENGINEERING <br />TRAFFIC DIVISION _ <br />WATER SERVICE <br />SEWER SERVICE <br />PUBLIC SERVICE SUCTION <br />3. INSPECTION DEPARTMENT <br />4. FIRE MARSHAL <br />NOTE: ALL CONSTRUCTION WORT: SHALL COMPLY WITH APPLICABLE CODES, NOTES ON DRAWINGS, AND <br />INSPECTIONS <br />