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CIT�' OF EVERETT --- DcnAxT�tF�.TT OP BUILDINGS <br /> APPLICATION AND BUILDING PERM7T <br /> C �� <br /> p EstIm�IM Cost [leia oi Comlrucllon � Fee Peld Ll�e al Permi` II ��s' Fi�� II ��• � -'� I � ��� <br /> Applicotion is hereby made for permit to do thc following work: <br /> ;— <br /> At � 1 '"' On Lot -_---, Block_ i <br /> (NumEer) .� r - <SIrtM) <br /> of , '� Addition, Lot ia +� <br /> Building will be —x Plus and �tories in height, in addition <br /> to___ basement. Occupancy will be <br /> Number <br /> Building will be _feet from nearest adjoining lot !ine. <br /> Owner ' _ -_v /+ddress <br /> Contracror__ Address <br /> �" <br /> Architect _ Owner <br /> ., <br /> Application made — ------ - - --By— <br /> Hb Autnorlittl qpent. <br /> The undersigned owner and�or agent �r. c�n;i:le•�!iri n( Ihe i;suance of this permit personally agrees to insure <br /> full compliance wilh ordinance No. 2513 of the CiN nt Eve�elt, Wash., and to replace and/or repair sidewalks, <br /> streeis, wrbs, gutters, catch basin, etc., damaged in the tourse of ihe permitted work. <br /> Permission is hereby granted to the work described hercon, atcording to the approved plans and specifications <br /> pertaining hereto, subjecf to compliance with the Ordinance of the Ciry of Everett Plumbing, wiring, gas or sewer <br /> installotions are not included in this permit. <br /> Bu1101rp Inapeefor <br /> Permit No.: _, Issued_ , 196_ By_ ' <br /> Remarks _ ___ _ __ _ <br /> \ <br />