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C'I'11' Oil, 1.Vrilu •'1' <br />�/`'i!1{1',11:T1fIi(!'I' (11' CO:;';l!it7'I'Y uia'IJnI;:IiI;T <br />BUILDING I'1:Iu1IT APPLICATION <br />_ UA'1'li <br />ADDRESS or CONSTUCTION 140M, _ .713 <br />VAT UAT CON <br />I'LI MIT PHE j�� I [� (e, o <br />- 9L PI SE - Everett <br />L1iCAI. UL'1'C11,117I0;4: LOT = 35 111ACK PLAT Emerson Ps. k East — <br />IINPLATI'liU U1:SCIIIPTION; <br />Rla;onla, <br />BUILDING DL'SCRIPTIoN: NE11 _Yes 6DDITIOS cir hri'11R <br />OCCUPANCY OR USE _51.0811< Family Res, IIEIGHTS IN STORIES <br />IS TIIIS A CHANGE OF BUILDING OCCUI'AI1CY: YES 140 X <br />CONTRACTOR Hillis Homes, Inc. O;i11;:11 MAILING IIAILIRG_ <br />ADDRESS 826 South Broadway ADDRESS <br />Everett, Wa0-. 98204 <br />rno'n Noam m 355-4492 PHoxP: IR D:1:R <br />CONTRACTOR'S LICENSE: fi1,/D1r•.R 2- 23-01-6589 _ <br />SIGNATURE' ✓ /" <br />NOTE;. THE APPLICANT SI.ALL FILL IN ALL ADOVr DLA11;(S CMPIIiTELY INCLUDII;C Till' PL(-y PLAN <br />SKE'TCII 0,1 'RLhR OF THIS 'SliFrT, THE APPLICANT IS RI:SP'MSIBJx PO R ALI. ISFO;11L•APION IIIIICII <br />IS FURIIISHFI) ON TM API1.'ICA'17.Oa, ANY CIIANCCS IN T17F II,'PO;u'LAY1ON, PLOT PL1.11 OR BUILDING <br />PLANS SHALL DE SUEMIT1'I:) TO TIM INSPEC1'IOA DIVISIC;::'OR APPROVAL BErOP,r Pi o=DIa'. <br />141TIl THE CONSTRUCTION N71U(, <br />. a <br />APPROVAL: <br />I. PIAIINING. <br />2, mmurER'ING <br />TRArI'IC 1 :i <br />LIATrtt srimac : 9 is 7 _- <br />St•:111:R SERVICE /p 7 <br />PUBLIC SERVICE, RECTION <br />3. INSPE l0. DEPARTEBiNT <br />4. 1`I10' IIAIISIIAL <br />DATE <br />L/�/'1 1.11 <br />�M <br />NOTE: ALL CONSTRULTIGN 1d011R 311ALL COMPLY UIT'll Al'1'LICA13Lti COUIiS, NOTrS O11 UIUM11NCS, AM) <br />INSPIXTIMS, <br />