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CITY OF Evy'METT. <br />Dr,"ARTMENT OF Ct)}GRINITY DEVELOPMENT <br />BUILDING PERMIT APPLICATION <br />DATL' LJ �., jC�n <br />rr•.Rllrr N0, 70 Y' 3 <br />o .z <br />VALUATION p <br />PEISIIT VEE <br />ADDRESS OF CONS'1'UCTION WORK _) /� I A^UZ') A 1P 0 nn <br />LEGAL DESCRIPTION: LOT d 2 DLCCR �_ PLAT---9-- <br />UNPLATTED DESCRIPTION: <br />o BUILDING llESCRIPTIO\: 11LIJ ADllITION REIIODELo'r REPAIR 1 <br />OCCUPANCY OR USE HEIGHTS IN STORIES <br />IS THIS A.CIIANGE OF BUILDING OCCUPANCY: <br />CONTRACTOR <br />1 NAILING EVERETT BUILDERS INC. <br />ADDRESS 5806 Fvrrgrrr.. i a3, <br />Evcrctt, 1Va. 98203 <br />PHONE NUMER. _ <br />CONTRACTOR'SENSE ifamR �a3 <br />SIGNATURE <br />YES I70 y <br />0 <br />OWNER <br />MAILING <br />ADDRL'SS�01 M <br />PHONE NUILER <br />-n1—//G/nn <br />NOTE: THE APPLICAIIT S1:ALL FILL IN ALL ABOVE BMM'S COMPLETELY INCLUDING TIIE PLOT PLA.N <br />SKETCH ON REAI� OF THIS S11L•'ET. TIIE. APPLICANT IS RESPONSIBLE FOR ALL INFO:UMTION IMICli <br />IS FURNISHED ON TIIE API'LICA'1'ION, MN CHANCES IN TIIE I FOR:•IATI0:2, PLOT PLAN OR BUILDING <br />PLANS SHALL BE SULMITTLI) TO THE INSPECTION DIVISIO" FOR APPROVAL WARE PROCEEDIN3 <br />WITH TIIE CONSTRUCTION VORK., <br />APPROVAL: <br />1. PLANNING. DATE <br />2. ENGINEERING <br />TRAFFIC DIVISION <br />WATER SERVICE <br />SEWER S*h'RVICE <br />PUBLIC SERVICE SECTIO14 _ <br />3, INSPECTION DEPARTMENT �. <br />4. FIRE NnRsiinL <br />NOTE: ALL CONSTRUCTION WORK SHALL COMPLY WITII APPLICABLE CODES, NOTES ON DRAWINGS, AND <br />INSP17CTIONS <br />