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a <br />CITY OF EVERFTT <br />,DEPART.^IFNT OF CON''-Ui]ITY DEVELOi'i•iEN^: <br />BUILDIh;G PERPdIT APPLICATION <br />DATE <br />ADDRESS OF CONSTRUCTION WORK <br />PER?•IIT NO. <br />VALUATION <br />PERMIT FEE <br />LEGAL DESCRIPTIO\: LOT BLOCK, PLAT <br />UNPLATTED DESCRIPTION <br />BUILDING DESCRIPTION: Ull .'' ADDITION <br />it, OF (UNITS <br />OCCUPANCY OR USE <br />IS THIS A CHAN,,E OF BUILDING OCCUPANCY <br />l r_/ <br />CCNTRACTOR- <br />�MAILING _ <br />ADDRESS <br />PHONI'. NUNBEP. �ci� " ��%• <br />CONTRACTOR'S LICENSE N=,BER <br />YES <br />RFHODF.F, <br />OR REPAIR <br />STORIES <br />NO <br />ADnRr.ss � 7"loyn�rla�oiCU�ti.' <br />l <br />ez h <br />P3ICICL: `]Ui•iEi�Rr 77� 1 �1 '�:Q(�� <br />NOTE: TIT: APPLIC7XT ST ALL FILL IIQ�rr L Jii OVE ;;I,;. •:F:S COl' ; ETc.i Y INCLUDING <br />THE PLOT PLAii SITTCII ON REAR OF THIS SHEET. TID7 APPLICA:QT IS RESPONSIBLE <br />FOR ALL INFOR7-' 1iTION I4H7:Cii IS FURNISHED ON TiiL APPLICATION, ANY CHANGES <br />IN THE IiiY01.'iI:PION, PLOP PLAN Or: BUILDING ! LrL:S SHALL BE SUBMLITTED TO THE <br />INSPECTICN DIVISION FOR APPROVAL BEI'ORU PROCEEDING WITIi THE CONSTRUCTION <br />WORK. <br />APPROVAL: <br />I. PLANNING <br />2. ENGINEi°RI1 G <br />IIATER SERVICE <br />SEIiL•'I: <br />PUBLIC SERVIC;, <br />?. INSPECTIO:' DBIPARTXI:;'T <br />a. FIRE 1.1AR:7:• .L <br />DATE _ <br />NOW: ALL CO'':;'Pi:L'CT:[O:: c;C:.'.: SL'; TL Sii1PLY l"l":'iI 1711�)'L.TU.BLE CODES, NOTES <br />ON DIu i71i.G5, i:7:C 7T;:1'i)CT:LO',d5 <br />