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CITY OF EVERETT <br />DEPARTMENT OF COMMUNITY DEVELOPMENT <br />BUILDING PERMIT APPLICATION <br />/ <br />Y DATE 74/ <br />(ADDRESS OF CONSTRUCTION WORK // nn <br />PERMIT NO. o^Z0 7 <br />VALUATION G o0 <br />PERMIT FEE / �j e./ <br />LEGAL DESCRIPTION: LOT JY BLOCK AO / / PLAT <br />i <br />UNPLATTED DESCRIPTION <br />REMODEL <br />'BUILDING DESCRIPTION: NEW ADDITION �_ OR REPAIR <br />' # OF UNITS OCCUPANCY OR USE <Zdjgfpp_7 STORIES <br />IIS THIS A CHANGE OF BUILDING OCCUPANCY: <br />CONTRACTOR//�/%F�• <br />MAILING <br />ADDRESS <br />I <br />1 PHONE NUMBER <br />CONTRACTOR'S LICENSE <br />1 SIGNATURE <br />YES NO x <br />OWNER <br />MAILING <br />ADDRESS <br />PHONE NUMBER <br />NOTE: THE APPLICANT SHALL FILL IN ALL ABOVE BLANKS COMPLETELY INCLUDING <br />THE PLOT PLAN SKETCH ON REAR OF TIiIS SHEET. THE APPLICANT IS RESPONSIBLE <br />FOR ALL INFORMATION WHICH 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 THE CONNSTRUCTION <br />WORK. A-21A <br />APPROVAL: r <br />1. PLANNING DATE ? 7, _ <br />2. ENGINEERING <br />TRAFFIC DIVISION <br />WATER SERVICE <br />SEWER SERVICE <br />PUBLIC SERVICE SECTION <br />?. INSPEC ION DEPARTMENT <br />i <br />4. FIRE MARSHAL <br />-7 %'- 7ci <br />NOTE: ALL CONSTRUCTION WORK SHALL COMPLY WITH APPLICABLE CODES, NOTES <br />ON DRAWINGS, AND INSPECTIONS <br />