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jCITY OF EVERET'T <br />DEPARTMENT OF COMMUNITY DEVELOPMENT <br />BUILDING PERMIT APPLICATION <br />PERMIT NO. �b <br />VALUATIONTa <br />PERMIT FEE IQ /. f9 d <br />DATE OCT 11 1VA <br />ADDRESS OF CONSTRUCTION WORK 808 91st P1 SE Everett Wash. <br />LEGAL DESCRIPTION: LOT 24 BLOCK PLAT Fmpraon Park Fast <br />UNPLATTED DESCRIPTION <br />REMODEL <br />BUILDING DESCRIPTION: NEW yes ADDITI011 OR REPAIR <br />9 OF UNITS _ OCCUPANCY OR USE Sine --le Family 81091ES <br />IS THIS A CHANGE OF BUILDING OCCUPANCY: YES NO <br />CONTRACTOR Hillis Homes, Inc. <br />MAILING ADDRESS 826 S. Broadway <br />Everett, Wash. 98204 <br />PHONE NUMBER 155-4492 <br />01INER <br />MAILING <br />ADDRESS <br />PHONE NUMBER <br />CONTRACTOR'S LICENSI�AUb1BER 223-01-658 <br />SIGNATURE <br />NOTE: THE APPLICANT SHALL FILL IN ALL ABOVE BLANKS COMPLETELY INCLUDING <br />THE PLOT PLAN SKETCH ON REAR OI' THIS SHEET. THE APPLTCANT 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 THE <br />INSPECTION DIVISION FOIL APPROVAL BEFORE PROCEEDING WITH THE CONSTRUCTION <br />WORK. AN6 <br />APPROVAL: <br />I <br />1. PLANNING DATE <br />2. ENGINEERING <br />TRAFFIC DIVISION <br />WATER SERVICE <br />SEWER SERVICE <br />PUBLIC SERVICE NOTION <br />3. INSPECTION DEPARTMENT <br />4. FIRE MARSHAL <br />NOTE- ALL CONSTRUCTION WORK SIIAId. COMPLY WITH APPLICABLE CODES, NOTES <br />014 DRAWINGS, AND INSPECTIONS <br />i <br />