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CITY Ov tiVlilaiTf <br />Mil'Al'.111ii; l' Of• Co::;'UNITY UI:10i1.U1'M]i11T. <br />CONSTRUCTION PERMIT APPLICATION <br />UATR Q- 1 - % Z <br />i'J:RM17 NO. L �_ <br />-DATE ISSUED <br />VALUATJON— <br />PERMIT Pill <br />ef3��-333- a27— coa8 <br />I <br />ADDRESS 0: CONSTUCTION WORK <br />'o 3 3 AT <br />)GAL UL•'SCRIPTION: LOT b LOBLOCK 3 PL <br />UNPI.A'fTI:D DESCRIPTIM'. <br />- - - RSIIDDEL <br />DUILUING DESCRIPTION: NEW V ADDITION or REPAII: <br />OCCUr:1ftCY OR USIi P $Y� 11E1C11T S 114 <br />S'J:OitII:5 / • /J o <br />IS THIS A MAN= OF BUIL>)I):G OCCUP::;1C)': YES • _ NO ✓ <br />CONTlY.0 OR <br />11Ai1,'MG <br />Aj)lll:l:::S — <br />PllOi:J NOR30 — <br />C012Ti.:C'i0R'S 7,7Cit�"(/11, <br />S1CJ%'I'IiRR� <br />G;tt^;1: Mai ��or/.pTie <br />HAILING V <br />PIION11 RLr•UD ilt <br />P ;G Tli?i PLOT Pi MN <br />kUf Tir'Al '1.'LIC.`�:T Sih'.7.7, PILL 1N ALT, Ai:OVE lti:la:::S CO.M.1i'7::LY II:CL.,llI: <br />IUI't 1'O:t ALL I::'OK?Sd'fIO: VVIC11 <br />s i:T(:.i Gil 1(Fi.;l C'_' TUTS S)'•; r; l'. TU:i Al'i'TJ:O!_:7` 7.S l;li&I'O:iJ 0 R <br />:r;;tl$l Gii ' L'li l.PFL':'(': lox. A`Y CiI'1;GES IN Tit" Ili:i0:1 ?+=''i0'1, P1.0'f P1,iL'r ?;illLi�I1:G <br />IS 1'(t ;l, <br />S;1!+1;L l;t'{ S:'li;l!.Tllill '1'0 'JI:3 I.:SP;i(:J:IUiI DiVI'SIO:' rol% API^OVAL 1)IiPO;:?i MOCTEEDI1:.• <br />14111,11 'fAli CONs!.lk, ,:!fIU.7 WOP.IC. APPLICATION RECEIVED BY <br />AYPI((f.'dL: <br />ti-- — <br />I. PLAltit(EC <br />2. <br />11ATl:t1.':I:1'1'i:(ili r <br />3. .INSPECr101' ]n:^�u1T)serr <br />4. FIVE, 111-1:S:IAI. <br />DATE <br />1i D7'I(: AT,I. CU:j; a'1;11 (;1'7:0;1 ld(11:1: SHALL C(t:;I,JY 1:ITI1 APPLICA);l.l i' (.O.. 0 t:O'1'ES UN U1:/;17IgCS� AND <br />lyatil 1;,;I y.ct;t;: CITY OF .EVERETT <br />APPROVED FOR BUILDING <br />GPERMI <br />