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CIT )F EVERETT <br />Dill, ;MENT OF COMMUNITY DEVELOPMENT <br />. %l1i.,DING PERMIT APPLICATION <br />DATE Mav 7. 7.971) <br />PERMIT NO. % d .Z <br />VALUATION <br />PERMIT FEE <br />ADDRESS OF CONSTRUCTION WORK 709 — 91At P] SF, Pberett, Wgh <br />LEGAL DESCRIPTION: LOT 11 BLOCK <br />UNPLATTED DESCRIPTION <br />PLAT RmarGon Pnrk Past <br />DUILDING DESCRIPTION: NEW x ADDITION REMODEL <br />OR REPAIR <br />Single Family <br /># OF UNITS OCCUPANCY OR USE Residence STORIES <br />IS THIS A CHANGE OF BUILDING OCCUPANCY: YES NO <br />CONTRACTOR HILLIS HOMES, INC. <br />MAILING <br />ADDRESS 826 So. Broadway <br />Everett, Wash. 98204 <br />OWNER Same <br />MAILING <br />ADDRESS <br />PHONE NUMBER . 355-4492 PHONE NUMBER Sam <br />CONTRACTOR'S LICENSE NUMBER 223-01-6589 <br />i . <br />SIGNATURE <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 CHANGES <br />IN THE INFORMATION, PLOT PLAN OR BUILDING PLANS SHALL BE SUBMITTED TO TIME <br />INSPECTION DIVISIO14 FOR APPROVAL BEFORE PROCEEDING WITH THE CONSTRUCTION <br />WORK. <br />APPROVAL: <br />1. PLANNING <br />2. ENGINEERING <br />TRAFFIC DIVISIO?4����� <br />WATER SERVICE <br />SEWER SERVICE <br />PUBLIC SERVICE SECTION <br />3. INSPECTION DEPARTMENT <br />4. FIRE MARSHAL <br />DATE <br />NOTE: ALL CONSTRUCTION WORT, SHALL COMPLY 11.IT11 APPLICABLE CODES, NOThS <br />ON DRAWLNGS, AND INSPEC'PI.ONS <br />% 5-Z gal <br />