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r <br />v <br />CITY _OF EVERETT <br />DEPAPTMENT OF COMMUNITY DEVELOPMENT <br />BUILDING PERMIT APPLICATION <br />DATE •Z r / <br />ADDRESS OF CONSTRUCTION WORK <br />LEGAL DESCRIPTION: LOT <br />UNPLATTED DESCRIPTION <br />BLOCK <br />PERMIT NO. _ <br />VALUATION/l UUa �� <br />PERMIT FEi �N• u <br />.20 <br />BUILDING DLSCRIPTION: NEW ADDITION REMODEL <br />OR REPAIR <br />$ OF UNITS OCCUPANCY OR USE 12/&�STORIES <br />IS THIS A CHANGE OF BUILDING OCCUPANCY: <br />CONTRACTOR <br />MAILING <br />ADDRESS <br />PHONE NUMBER <br />CONTRACTOR'S <br />SIGNATURE <br />E <br />YES NO <br />OWNER > <br />NAILING ; <br />ADDRESS <br />PHONE NUMBER <br />NOTE: THE APPLICANT SHALL I LL IN ALL ABOVE BLANKS COMPLETELY INCLUDING <br />THE PLOT PLAN SKETCH ON REAP. OF THIS SHEET. TIIE APPLICANT IS RESPONSIBLE <br />FOR ALL INFORI•LATION t:H?CII IS FURNISHED ON THE APPLICATION. ANY CHANGES <br />IN THE INFOR2•IATION, PLC_ PLAN OR BUILDING PLANS SHALL BE SUBMITTED TO THE <br />INSPECTION DIVISION FOR APPROVAL BEFORE PROCEEDING WITH THE ONSTTaUCTION <br />WORK. //./A <br />APPROVAL: <br />1. PLANNING _ DATE " Z l0 Z <br />2. ENGINEERING <br />TRAFFIC DIVISION _ <br />WATER SERVICE <br />SEWER SERVICE <br />PUBLIC SERVICE SECTION — <br />?. INSPECT .N DEPARTMENT ui/ a4-t� � ;2 `` <br />h. FIRE MARSHAL <br />NOTE: ALL CONSTRUCTION WORK SHALL COMPLY WITH APPLICABLE CODES, NOTES <br />ON DRAWINGS, AND INSPECTIONS <br />i <br />r <br />