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CITY OF EVEIIIiTT <br />DEi.ARTl-lrNT OF COMMUNITY DEVELOPMENT <br />DUILDTNG PERMIT APPLICATION <br />RATE May 7, 1975 <br />PER14IT NO. oC OD <br />VALUATION <br />PERI4IT FEE <br />ADDRESS OF CONSTRUCTION WORK 703 — 91st PI. SE, Fverott, Wash, <br />LEGAL DESCRIPTION: LOT 14 DLOCK _ PLAT Emerson Park East <br />UNPLATTED DESCRIPTION <br />REMODEL <br />IIUILUING DESCRIPTION: NEW ADDITIONREMODEL <br />R17PAIR <br />Sing .e7—F-am3f <br />Q OF UNITS OCCUPANCY OR USE Residence STORIES <br />IS THIS A CHANGE OF BUILDING OCCUPANCY: YES NO <br />CONTRACTOR HTLLTS HOMES, TNC. OWNER Same <br />MAILING MAILING <br />ADDRESS 826 So. Broadway ADDRESS <br />Fverett, Wash. 98204 <br />PHONE NUMBER 355-4492 <br />PHONE NUMBER Same <br />CONTRACTOR'S LICENSE NUMBER 223-01-6589 <br />SIGNATURE, <br />NOTEt THE APPLICANT SHALL FILL IN ALL ABOVE BLANKS COMPLETELY INCLUDING <br />THE PLOT PLAN SKETCH ON REAR OF THIS SHEET. THE APPLICANT IS RESPONSI13LE <br />FOR ALL INFORMATION WI41CII IS FURNISHED ON THE APPLICATION. ANY CHANGES <br />IN THE INFORMATION, PLOT PLAN OR BUILDING PLANS SHALL BE SU13MITTED TO TliA <br />INSPECTION DIVISION FOR APPROVAL BEFORE PROCEEDING WITH THE C014STRUCTION <br />WORK. <br />APPROVAL: <br />1. PLANNING DATE <br />2. ENGINEERING�� <br />TRAFFIC DIVISION ///Q/ J•+��/Fa/7� _ <br />WATER SERVICE dam"--rt7 <br />SEWER SERVICE _ <br />PUBLIC SI4RVICE SECTION <br />3. INSPECTION DEPARTMENT <br />4. FIRE MARSIIAL <br />NOTE: ALL CONSTRUCTION WORK SHALL COMPLY WITH APPLICABLE CODES, NOTES <br />ON DRAWINGS, AND INSPECTIONS <br />