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t, <br />iY OF EVERIETJ.' <br />�ARTJIi•,til^ OF CO?iE1UNIT'I DEVELOPMMT <br />DING PEIVI2`1 AYFLICATICIQ VALUATION-' <br />P^RI•i i T FEE <br />DATE <br />ADDRESS 02' CONSTRUUCTION WORI: ✓� LG%+ ?d/ -.`' <br />OT <br />LEGAL DE:CRIPTT.ON /�./�,J�, PLAT iA,�;; :>r-C%S Q. <br />T BLOC. <br />• -- rimer. <br />9 <br />4 <br />U14PLATTED DESCRIPTION <br />BUILDING DESCRIPTION: <br />i <br />OF UNITS <br />NEW i ADDITIO'rI <br />P),R1,1IT NO. <br />REMODEL <br />OR REPAIR <br />OCCUPANCY OR USE STORIES <br />IS THIS A CHANGE Or <br />`BUILDING OCCUPANCY: <br />CONTRACTOR � /-. `��1'r A, <br />MAILING /J ,714 4ib . <br />ADDRESS / <br />PHONE NL1Ia:1ER �= C-'6%�' <br />CONT]', CTOR' S LICENSE NUNBER <br />YES <br />NO <br />,;•; /ash <br />PIIONF, liumBIsR �/, • 'd e Y) <br />- 6.1 - lf-e&6= <br />SIGNATURE <br />NOTE: THE APPLICF.NT 511ALL FILL IN 7411, A30VE t3a.?+?P:S CO:•)PLETELY INCLUDING <br />THE PLOT PLAN S)iETCII ON REAR OF THISSHEET-THB APPLICANT IS RESPONSIBLE <br />FOR ALL I22P'OF,I3'.TION Wi1::Ci1 IS J, iN,Sj1,t.rD 0:: ^ 1IL i1i'PLICATIOt4. ANY CHANGES <br />IN THE I)di'O1 ;nTION, PLGT PLAN OR BUILDING PI.,t1NS SHALL BE SUP.?SITTrD TO THE <br />INSPECTION 1)7VIS10-.1 FOR APPROVAL BEFORE PROCE1,DING KITH THE CONSTRUCTION <br />WORE. <br />APPROVAL: <br />1. rLalar:c nA'rE- ii-7� <br />&4q�Erz-A&� ,;iwr 3•97-7VL — <br />2. <br />TRAF):'IC Di\'ISIO:J _ <br />WATER SERVICE <br />StsWER SERVICE <br />PUBLIC SERVICE SI'.C1 <br />I <br />?, INSPECTION llI:PAR7`i'iRN'f — <br />4. <br />NOTE: >L?, CC'i?:.'1aiCTTO:: l7 P.i: Glli TL CO';i'LY l::i'.i Al?1'i :CCADLE CODE'S, NOTES <br />ON <br />