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CITY OF EVERFTT PERMIT NO. RS�9 <br />nr•.PhP.T,1EN'J' OF COM:•IUNI'1'Y DEVELOPMENT J VALUATION _ <br />I)UIl.DING PI-WIMIT PPLICATION <br />PERJ4IT FEE <br />/) Gj `('DATE / , `�! ;_,.S d-V <br />ADDRESS OF CONSTRUCTION WORK 3�✓!' '*� "� <br />i - <br />LEGAL DESCRIPTION: LOT-�.•�•- BLOCK / P71 PLATE!-� l v <br />UNPLATTED DESCRIPTION <br />DESCRIPTION: NEW ADDITION <br />#' OF UNITS <br />OCCUPANCY OF. USE <br />IS THIS A CHANGE OF BUILDING OCCUPANCY: <br />CONTRACTOR 5A K- � <br />14AILING <br />.ADDRESS <br />PHONE NUMBER <br />CONTRACTOR'S LIC <br />SIGNATURE <br />I CREMODEL <br />OR REPAIR <br />STORIES <br />YES / NO �-z_ <br />OWNER <br />M7JLII:G <br />ADDRESS _. <br />PHONE NUMBER <br />NOTE: THE AP PL CANT SHALL FILL IN ALI, ABOVE BLANKS COMPLETELY INCLUDING <br />THE PLOT PL7:N SKETCH ON REAR or THIS SHEET. THE APPLICANT IS RESPONSIBLE <br />FOR ALL I.NFOR »TION1111ICH IS FURNISHED ON THE APPLICATION. ANY CHANGES <br />IN THE INFORMATION, PLOT PLAN OR BUILDING PLANS SHALL BE SUBMITTED TO THE <br />INSPECTION DIVISION FOR APPROVAL BEFORE PROCEEDING WITH TIIE CONSTRUCTION <br />WORK. <br />APPROVAL: <br />1. PLANNING <br />--6,_��� <br />2. ENGINEERING <br />TRAFFIC DIVISION <br />WATER SERVICE <br />SEWER SERVICE <br />PUBLIC SERVICE SECTION _ <br />3. INSPECTION DEPARTV-NT <br />4. FIRE MARSHAL <br />DATE, SP- S S- w <br />NOTE: ALL CONSTRUCTION WORT: SHALL COMPLY WITH APPLICABLE CODES, NOTES <br />ON DRAWINGS, AND INSPECTIONS <br />