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( /i <br />CITY OF EVERETT --- Dr�naTr,iFvT nF BliILDTIvTGS <br />APPuCAT10N AND BUILDING PERMI7 <br />�— Ptnnf Flled N <br />d Conalrvcllon I� Fee PeiC I_ Lile al Permll II Y�s No II •`�. B� 1"3 4 0 4 <br />Application is hereby made for permit to do the Following wc <br />. �if-� ��i},✓�..rIL:)//�.' :+/iy;l �>��./.: � . <br />__ / <br />!.�ri:< _ _ ,,,,� .'�, c�, On Lot �l,':�� ��r / , Blod� <br />At— ' " - • , <br />lNumEer) ' .16iree❑ <br />of_- `''_ �• � ! f'` `"� - .`'r� Addition, Lot is_ �--- <br />�_and storics in hei ht, in addition <br />Building will be �=�__x_ �-- Plus_ —"--- 9 <br />;}_.^�� s; ...�,_ . : ., isi::;., � r.2._�c <br />to_.__— basement. Occupancy will oe — <br />NumGcr <br />Building will be � feet from nearest adjoining lot line. <br />� —` � <br />Owner �'"�'rcr-'G '+%- - -�''��' _Address <br />Contracror � �'�1 � Address__. <br />Application made_ ----- BY----- -----Nis n�mc.i:�a naem.-- <br />The undersigned owner and/or agent in consideration ef the is,uance of ihis permit personally agrees tu insure <br />full tompliance with ordinance No. 2513 of the City c,f Everett, Wa:h., and to replace and/or repair sidewalks, <br />streets, curbs, gutters, catch basin, etc., damaged ' i the course of the permitted work. <br />Permission is hereby granted to the work describe� hereon, cccording to the approved plans and specifications <br />pertaining hereto, subject to compliance with the Ordinance of the City of Everett. Plumbing, wiring, gas or sewer <br />installations are nat included in this permit. — <br />< . . c;.; �, . . <br />� �' Builtll� Im�eeror <br />/.:= `i. �;� . . .. <br />Permit No.---_, Issued__ ' _, 196— BY `� ' " `�� — <br />Remarks__—_— <br />Y <br />...._.._ .. . .._ _ <br />