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' PrPaLll.' NO. <br />-ern' o^ l:v1aHET•r <br />Phl'AICI'NENT OF Cok9JU1,11TV DEVELOPMENT 3 <br />BUILDING PEIUIIT APPLICATION VALUATION ©O <br />PERMIT FEE <br />DATR iav 16. 1973 _ <br />ADDRI•;SS OF CONSTUC1'ION WORK 1021 IIKt-h "treat Eyeratty Id-aahington <br />LEGAL DIESCRIPTION: LOT 417 FLOCK PI.ATC+acade Mountain Vinw Tracts <br />_ __-UNPLATTED DESCRIPTION: ` <br />BUILDING DESCRIPTION: N114 ADDITION <br />REMODEL <br />at -.w — xxxx <br />OCCUPANCY OR USr 5jdigle family iweIi r HEIGHTS IN STORIES one <br />_— IS THIS A CHANGE OF BUILDING OCCUPANCY: YES NO xxx <br />CONTRACTOR 4e1T <br />MAILING <br />_ ..ADDRESS <br />i <br />I <br />I • <br />PHONE NUNUER <br />CONTRACTORS LICENSE NUMBER <br />c <br />SIGNATURE <br />OWNER David N, Honcl)talinc <br />MAILING <br />ADDRESS 3-021 - 115th it., <br />Everatt, ;ashi•ICton <br />PHONF. 'NU1,1BL•R 3K3-6271: <br />NOTE: THE APPLICANT SHALL FILL I14 ALL AWOVr DLANKS COMPLETELY INCLUDING THE PLOT PLAN <br />SKETCH ON REAP. OF THIS SHEET. THE APPLICANT IS MSPONSIBLE FOP. ALL INFOMIATION 14111CII <br />IS FURNISHED ON THE APPLICATION. ANY CHANGES IN TNr INFORI.IITION PLO 13M OR BUILDING <br />PLANS SHALL BE SULI•fITTED TO THE INSPECTION DIVISIM FOR APPROVAL f .E PItOCEI:DING <br />WITH Tills CONSTRUCTION WORK, <br />APPROVAL: ee nn <br />1. PLANNING.el��!! DATE <br />r <br />2. ENGINEERING <br />TRAFFIC DIVISION <br />WATER SERVICE _ <br />SL'NER s$RVICE <br />PUBLIC SERVICE SIECT J <br />3. INSPECTION DEPARTMENT <br />4. FIRE MARSHAL <br />NOTE: AM, CONSTRUCTION WOIHC SHALL COMIX 141TIl A1'19.ICAB1.Ii COB:ES, NOT1E5 oil DI AIJIWCS, AND <br />INSI'NCTIONS /577��S •� �G <br />r <br />m <br />