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<br /> CITY OF EVERETT�-- DEPARTMENT QF BUILDINGS
<br /> APPLICATION qND BUILDING PERMIi
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<br /> Appli�ation is hr.rby made fur permit to do the follewing work:. .. ._. . .
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<br /> (N�m6�.1 � � 1.... . ...._ ... .. .. __ ._ . .. . .., on Lot . . _.
<br /> IS�.��� _ , DI«k. . ._...... ..
<br /> oI . ..... .. ......... .... _. . Addition, Lot ie . ... ... .. _
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<br /> 6uilding will bc.. _ . ._ _ .x
<br /> � - .._...stoncs m hcighy m addition
<br /> _ . _ _ .. .. an _ . ........ . . . ..
<br /> to. ... _. ... ...baacmrnt. Occupancy ���il bc . .
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<br /> Duilding i.•ill bc . .. _ _ _ (ccl frort� ncarest adjoining lot linc.
<br /> Owncr. _ .. l..�.!(.fi........._1�.�. � �I' .� f...:.�._�. '.:c.�.,'Address .._ _ .
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<br /> Contractor _..:�. . ' �� ._...._..Address ._ ..
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<br /> Architccl . .. . ._ _.Oicncr . ... ..
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<br /> Application madc , ..t..i.. - '- � ` � ; i� .
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<br /> m, n��a��.�,��i nQ.���.
<br /> 77�c undcrsiqncd oimcr and/or agcnt in considcralion uf thc issuamc of U�is permit persnnally agrecs tu insure full cotnpliancc
<br /> e�ith ordinanrc Nn. 2513 of thc Ci�y of livcrctt, 1Vash. m�d to rrpla�c md/or rrpair sidcwalks, strccts, curbs, guttcre� catc6 baein,
<br /> ctc. damagcd in Ihe coursc uf Ihc pcnniltcd work.
<br /> Pcrmissiun is Lcrcby grantcd [o thc �cork dcscribcd Lcrmn, accordin�; lo Ihc approvcd plans and spccifications pataining hcrcto,
<br /> subjcct to wmpliancc Hi(h thc Ordinancc of thc City of Hvcrct[.
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<br /> 1'cnnit No.�p.J r�.��l I, Issucd ._ .�., ./ � ,i. .... 196. '-� . . . s<t (�, ( ✓ �`'� t
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<br /> 6uildms in.pcmr
<br /> Rcmarks..._......._......_..........
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