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CITY OF EVERLTT --- Dr-.nn��T��rr:rrT �r- BUILDINGS <br /> APPLICATION AND Bf1fLD/NG PfRM/T <br /> S � �� � — <br /> E�IlmateO Cesf $--- . I Plem FIIM II N R � � i� /j � <br /> Ii Class W Cenihuction Fee Pak II LIPr ol permp i Ycs NO ' `�• �+ - " i <br /> Application is hereby mode for permit to do the following work: <br /> Af— . i - <br /> On Lot_ "' Block <br /> INumber) - (51rceq � � . <br /> °f Addition, Lot is X <br /> Building will be Y Plus _ond <rories in height, in addition <br /> to____ basement. Occupancy will be <br /> N�mMr <br /> Building will be feet from nearest adjoining lot line. <br /> Owner .. /+ddress <br /> Contractor Address <br /> Architect Owner <br /> Applicafion made_ ----- Qy --- <br /> Hi� AUViar@e0 AG!•nt <br /> The undersigned owner and;"or agent in consideratio� of the issuance of ihis permif personolly agrees to insure <br /> lull compliance with ordinance No. 2513 of Ihe City of Everett, Wash., and to replace and/or repair sidewalks, <br /> slreets, curbs, gutters, catch basin, etc., damaged in ihe course of the permitted work. <br /> Permi;;ic:n is hemhy granled to Ihe work dexribed hereon, according fo the approved plons and specifitations <br /> pertaining heielo, subject lo complionce with 1he Ordinance of the Ciry of Everett. Plumbing, wiring, gas or sewer <br /> insmllations are not included in this permit. <br /> Ou1101n0 Inspe<la-- <br /> Permit No.` "' ' , Issued_ ' �qb '- gY_ <br /> Remarks <br />