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<r.ITY`OF EVERETT 01 `J BOO <br />DEPARTMENT OF COMMUNITY DEVELOPMENT <br />BUILDING FrRMIT PPLICAT_ION <br />DATE <br />ADDRESS OF CONSTUCTION WORK ' S oQ - ' <br />PERMIT NO. <br />VALUATION <br />PERMIT PEE <br />LEGAL DESCRIPTION: LOT U hIPL-, 13LOCK <br />UNPLATTED DESCRIPTION: 5-p-e- -3 a-- Z 9 - <br />REMODEL <br />BUILDING DESCRIPTION: NEW 9DDITION or REPAIR <br />OCCUPANCY OR USE I,t✓SJ�r HEIGHTS IN'STORIES <br />IS THIS A CHANGE OF BUILDING OCCUPANCY: YES _ NO N <br />CONTRACTOR �' � 4L 0 QQ L I I -A M 61,4014NER T <br />MAILING �� MAILING <br />ADDRESS ADDRESS _a6o___� c __ <br />gSZO ) <br />PHONE. NUMBER Z-S/q/ __ PHONE NUMBER <br />CONTRACTOR'S LICENSE NUMBER <br />SIGNATURE <br />NOTE: THE APPLIC..%NT SHALL PILL IN ALL ABOVE BLANKS COuPLLvrELY INCLUDING THE PLOT PLAN <br />SKETCH ON REAR OF THIS SHEET. THE APPLICANT IS RESPONSIBLE FOR ALL INFORMATION WHICH <br />IS FURNISHED ON THE APPLICATION. ANY CHANGES IN THE INFORMAATION, PLOT PLAN OR BUILDING <br />PLANS SHALL BE SUBMITTED TO THE INSPECTION DIVISION FOR APPROVAL BEFORE PROCEEDING <br />WITH THE CONSTRUCTION WORK. <br />APPROVAL: <br />1. PLANNING <br />2. ENGINEERING <br />DATE <br />TRAFFIC DIVISION <br />WATER SERVICE _ <br />SL14ER SERVICE <br />PUBLIC SERVICE SECTION <br />3. INSPECTION DEPARTMENT_ 3 / 9 /7 L <br />TT- <br />4. FIRE MARSHAL <br />NOTE: ALL CONSTRUCTION WORK SHALL COMPLY I4ITII APPLICABLE CODES, NOTES ON DRAWINGS, AND <br />INSPECTIONS . y <br />