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CITY OF EVERET'T <br />DEPAIMIE'I;T OF COTUiUNITY DEVIi1.0PMENT <br />BUILDING IIVPV ll'J' APl'LICA'1'ION <br />n <br />DATE - r <br />ADDRESS OF CONSTUCTION WORK <br />LEGAL, DESCRIPTION: —LOT & _— BLOCK 2 2 <br />UNPLATT'ED DESCRIPTIO14: <br />BUILDING DESCRIPTION: IIE14 <br />OCCUPANCY OR USE <br />ADDITION <br />IS THIS A CHANGE, OP BUILDING OCCUPANCY: <br />CONTPJ+CTOR <br />HAILING <br />ADDRESS <br />PHUNE N'Ui-MER ��� — _ S.:31& _ <br />COitTrumOR'S LICENSE NUIDIER <br />SIGNATURE <br />PERMIT NO. <br />VALUATION <br />PERMIT FEE <br />PE-HODEL <br />dr REPAIR k,— <br />HL•'IG}iTS Lit STORIES _ <br />YES 110 <br />DYINER e- <br />1JAILING <br />ADDRESS _ <br />PHONE NUMBER O S - H a <br />-0,2- /oo2r <br />--NOTE: THE APPLICA:;T .Al.ALL FILL IN ALL AD01ti BLAl.^.CS CO:TT.ETELY INCLUDING Till-' PLOT PLAN <br />SKETCH Oil REAR Ol' THIS SHEET. THE APPLICANT IS RI'SPONSIBLE FOR ALL INFO" i TIOid MIT.CH <br />IS FURilISHED Oil TiU: A,'PLICATION. ANY Cl!A!'CES IN T1iti INFORMATION, PLOT J.:i OR EUIL.DING <br />PLANS SHALL BE SULMI1 ZED TO 'Ills: INSPECTIOA DIVISION FOR APPROVAL BEPfa1 PI;J=DING <br />WITH TEAT CONSTRUCTION WORK. X <br />APPROVAL: <br />1. PLANNING. DATE <br />2. ENGINEERING <br />TRAFFIC DIVISION _ <br />14ATER SEIMICE <br />SMIER SERVICE <br />PUBLIC SERVICE SECTION <br />3. INSPECTION DEPARTMENT <br />4. rin MARSHAL <br />NOTE: ALL CONST1,UCTION 1tO111, SbALL COMPLY WITH APPLICABLE, CODES, NOTES Oil DRAVINGS, AND <br />INSPECTIONS <br />• <br />a <br />