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CITY OF EVERETT -- DEPARTMENT OF BUILDINGS <br /> APPLICATION AND BUILDING PERMIi <br /> ; _.. ._..___.............. ........................_........... p_L:: _._ _...... __. _ . .... . Y4�, FNa . 115�17 <br /> r r a c,.� ci . �� c��.�.��r�� rn r:a c�i� �i r..�a <br /> _. _. <br /> B N� � <br /> Applic.tion is hcrcLy madc (or permit ro do thc following erork: _.......... ._.. ._....... .....__.._._ ..._. _. .___ _. . . . .. . <br /> ;— � <br /> . . . . ._. . _._ . . . _ . .._... . . . ; .[I....� /.. ..:.... ..::._;` �� ..ir:........ .. .._..._._ . .... <br /> . _ ......_ .._. ... ... ...___....._. .. . _...._ _.._..._.. .. .. . . ............. .._ . .... . . ... ........_......_._...... ._. .. .........__ .. <br /> . ._ _.............. _........................._..........._......_........_..�...._.................._................................__......................................._....__.. .._......__.__. ..... <br /> �.:` �rf ' ...___ ....._..� on Lot_.... . ......... IIlock__..._. _...__... <br /> At _ ._._ ._.._ ,�L... _....... ... .. _._ <br /> (Num�K.l � cserro�t � <br /> of _.__.... .. ._.. ............ ..._...._....... .. __ . _._.. .._.. _. Addition, Lot ia. . .........__.. . ............x ..__.. ..__.....__........ <br /> Ouilding will bc. . ... .. . . .x . . . _.. . .. .. .aud. _. ........._.._....,.._.__....................._ _.. ...arorics in hcight, in addition <br /> ro. . .. ... . . .I�ascmcnL Occupancy will bc . . ........._.. ....._...._...._..__...... ._ _...__..__._.____ . <br /> .. . ._._... . .. .._.._........ . <br /> Nuni�x� <br /> Ituildinp will bc . .. .. _. . . . (cM (rom ncarctt :.djoining lot linc. <br /> Owncr :.� _._. ._.. ...f..:_.. � --____. ....;: -:._...: _.._. __Addtcss . ._ . ........_.... . ......_..............___................ .__. .. . .. <br /> Contrac�or . ___. �� - t ` ^ .��"' '. .__.._Address .. . __..._...._ <br /> . ......_ �...t�_ _. .. .... . . ._ ... ..... . ....... ..... . ..._......... <br /> Architcct .. . _ . . . . .. . . . _ . . . ._ . . _..._.Clwnrr . _ _. . .__ ._. . ....._ ....__........ ._ . ....__...._._. . ... <br /> Applicalion madc . � . . ._.. . . . . _._ ... IIy . . ...__. ._... ..__. ._.... _......__. ._ . ._.....__ . .. . <br /> Ilh n J i.ed nm,r,. <br /> Thr, undcrsiqncd o��aur and/or agcnl in considcr:rtion of thc issuancc o( this pertnit personally agrccs tu insurc full cotnpliancc <br /> wid� ordinanre No. 2513 n( tlre Ci�y n( ]i�•crctt, 11'asl�. and to rcplacc .md/or rcpair sidcwalks, s�rccts, curbs, gut�crs, catch basin, <br /> cic. damagcd in thc murxc of thc pcnnitltd worl. <br /> Pcrmissiun is hcrcby granicd to ihc work dcscribcd hcrcon, according ro thc :ipprovrd plans and spccifications pertaining hvct�, <br /> subjcct to compliancc xiUi thc Ordinanrc o( thc Cily o( rvcrclt. , <br /> 4::" . <br /> f : � <br /> Prnnil A'o. _ .. . , Issucd . _ . . . . , 195 . .. . _..___. . ._ _........._. j.. .._........ .. - ' . ..... ...._... <br /> . .......BuiWine Impecmr <br /> Rcmarlc.+ .......__ . ..._..._ _.. __.. _._. _. _ .. _......._. . .......... .. ...... .. ... . . ...._...... _ . ......_...... ..... ._........ . . ... .......... <br /> nYrn��p 6 <br /> `i`v� <br />