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GiTY OF EVERETT <br />DE.PAWITIENT OF COMMUNITY DEW'.LOPM-M <br />BUILDING 11IiISIIT APPLICATION <br />Dt;rl:-1- %� <br />PERN'1'T No. — /mile :33 <br />2 <br />VALUATION00 — <br />PEI MLT FEE s`l�— <br />ADDRESS OF CONSTUCTION WORK__ - <br />LEGAL DESCRIPTION: LOT q BLOCe PLAT &nL� I��V' Nl' <br />UNPLAT'TED DESCRIPTION: <br />RTMODEL — <br />BUILDING DESCRIPTION: NEW // `ADDITION or REPAIR _Vr S , <br />OCCUPANCY' OR USE, _ _LL1C� IIBIGIITS IN .STORIES <br />IS THIS A CHANGE OF BUILDING OCCUPANCY: YES <br />CONTRACTOI:j(�[.��L� <br />NAILING p <br />ADDRESS- <br />--- <br />PHONE NUPBiER <br />CONTRACTOR'S LICENSE NUI-MER <br />SIGNATURE <br />HAILING <br />ADDRESS �vSOTJCK�r�i Le/� <br />PHONE NUMBER <br />NOTE: THE APPLICANT SHALT; FILL 1N AM, 1,li01E BLkM S COMPLETELY INCLUDIIM THE PLOT PLAN <br />SKETCH ON REAR OF THIS "uHEE•"T, 'THE' APPLICANT IS PONSIBLE FOR ALL IPiF01RdATION WIiICII <br />IS FUP:gI311r.D ON THE APPLICATION. ANY CHANGES IN THE INFOW.-'TION, PLOT PLAN OR'BUIT.011?0, <br />PLANS SHALL BE SUBMI'TTED TO TINE INSPECTION DIVISION FOR APIROVAL BEFORE PROCEEDING <br />WITH THE: CONSTRUCTION 1@OP1C, <br />APPRO`IAl: <br />1. PLANNING _ DATE <br />2. ENGINEERING <br />TRAFFIC DIVISION-- <br />WATEIt. SERVICE _— <br />SHMER SERVICE <br />PUBLIC S1,RVICE <br />3. INSPECTION DEPARTMENT <br />4, FIRE NARSEIAL <br />NOT'li: ALL CONSTRUCTION WOIIIC SHALL COMPLY WITH APPLICABLE CODES, NOTES ON n1tAWINCS, AND <br />INSPECTIONS CITY OF EVERETT <br />APPROVED FOR BUILDING PERMIT <br />Date-7&/L'BY <br />