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L <br />.CITY OF EVERETT <br />DEPARTMENT OF COMMUNITY DEVELOPMENT <br />BUILDING PERMIT APPLICATION <br />DATE <br />PERMIT NO. (! -2- <br />off <br />VALUATION <br />PERMIT FEE <br />ADDRESS OF CONSTRUCTION WORK <br />LEGAL DESCRIPTION: LOT _ BLOCK PLAT Egi, Woe d <br />UNPLATTED DESCRIPTION <br />C�Ilf ��u7 <br />BUILDING DESCRIPTION: NEW ADDITION REMODELOR REPAIR <br />@ OF UNITS OCCUPANCY OR USE STORIES <br />IS THIS A CHANGE OF BUILDING OCCUPANCY: YES NO <br />CONTRACTOR OWNER C19r >:ee J` or�7:5G>L <br />MAILING MAILING <br />ADDRESS ADDRESS 937d. S� <br />Cycyr?'7 Ww. 9B J'c B <br />PHONE NUMBER PHONE NUMBER 2S3 - / <br />CONTRACTOR'S LICENSE NUMBER <br />SIGNATURE 1�4f 1t-c C (f' �- r.li v✓ <br />NOTE: THE APPLICANT SHALL FILL IN ALL ABOVE BLANKS COMPLETELY INCLUDING <br />THE PLOT PLAN SKETCH ON REAR OF THIS SHEET. THE APPLICANT IS RESPONSIBLE <br />FOR ALL INFORMATION WHICH IS FURNISHED ON THE APPLICATION. ANY CIIANGES <br />IN THE INFORMATION, PLOT PLAN OR BUILDING PLANS SHALL BE SUBMITTED TO THE <br />INSPECTION DIVISION FOR APPROVAL BEFORE PROCEEDING WITH THE CONS UCTION <br />WORK. <br />APPROVAL: <br />1. PLANNING DATE <br />2. ENGINEERING <br />TRAFFIC DIVISION <br />WATER SERVICE <br />SEWER SERVICE <br />PUBLIC SERVICE SECTION <br />?. INSPE ON <br />_DT�PARTM NT <br />c <br />�r v <br />4. FIRE MARSHAL <br />NOTE: ALL CONSTRUCTION WORK SHALL COMPLY WITH APPLICABLE CODES, NOTES <br />.ON DRAWINGS, AND INSPECTIONS <br />