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CITY OF IEVERETT <br />DEPAW17MI1T OF CO;ZWNITY DEVELOPMENT <br />BUILDING PERMIT APPLICATION <br />—DATE <br />ADDRESS OF CONST'UCTION WORK <br />PEItNiT 110. <br />VALUATION so <br />PERMIT BEE <br />LEGAL DESCRIPTION: LOT �_ BLOCK 365 _ PLAT <br />UNPIATTED DESCRIPTION: <br />L <br />BUILDING DESCRIPTION: NEW ADDITION of REPAIR <br />OCCUPANCY Olt USE Fle= HEIGHTS IN STORIES <br />IS THIS A CIU+SCE OF BOILDING OCCUPANCY: <br />CONTRACTOR <br />HAILING <br />ADDRESS <br />PHONE NUMBER <br />CONTRACTOR'S LICENSE NUIBIER <br />SICNATURE <br />v <br />YES w 140 7� <br />(YONER <br />IMILI14G <br />ADDRESS <br />PHONE NUMBER 4 L- �2 3 U 19 7 <br />NOTE: TIIE APPLICANT SIV,LL PILL IN ALL ABOVE BLAIBCS COMMELY INCLUDING THE PLOT PIAN <br />SKETCH ON RE.1R Oi 'PAI3 SHEET. THE APPLICANT IS It ESPONSIBI.E FOR ALL INBOE'lViTION UIIICII <br />IS PURINIS LED Oil THE A?PLICATION. ANY CHANGES IN Tlh-i INBOMM-MON, PLOT PLAN OR P.UILDING <br />PIARS SIU+LL BE SU MMED TO THE INSPECTION DIVISION BOP, APPROVAL BEFORE PROCEEDING <br />WITH VIE CONSTRUCTION WORK. Q P\ <br />1. P11+NNING`-<�:, ' -tR� <br />DATIi 3 <br />-ZB- <br />7Q <br />s. <br />ENCINIEERING <br />TRAFFIC DIVISION) _ <br />VATIER SIERRICE <br />SEWER SERVICE <br />PUBLIC SERVICE SECTION <br />3. INSPECTION DEPARTPBENT <br />4. PIRE MURAL <br />NOTE: ALL CONSTRUCTION WOM SHALL COMPLY WITH APPLICABLE CODES, NOTES ON DIMINGS, Ail]) <br />INSl'IECTIONS <br />