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<br /> CITY OF EVERETT-- DEPARTMENT OF BUILDINGS
<br /> APPLICAT(ON AND BUItDING PERMIT
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<br /> 4:nimn�d C t CI f Co T... P u L'f 1 1 '1 • _
<br /> Appliu�tion is hcrcby m�dc for permit to do �hc following work: _.._.....
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<br /> Quilding will bc... . . _ .._ . ._ .x. _ . . . . ... . _...and ... . _._... .....__...__.. .... . _......_arorics in hcight, in addition
<br /> to . . . .___ . .baacmcnt. Occupancy ��ill bc ...___ . ........
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<br /> Ruilding will bc . ,_,,, . .. .kct fmm ncarest adj°J'ning Iot Lnc , � /
<br /> Owncr . . .� . / ._.. . ��(�� (.' . (�7 r�� ` t.Address . '� � f '� � L� � j /( ;'.�'
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<br /> Conlrac[or. . . . __....._:.. ... ..�`..! . l.f..^ '��._ ._._...__.___..Address _.. . .. ....__. ....... ..... . _ ...................
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<br /> Archi�cct _ _.. . ._ .Out�cr. .. . . ........�...
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<br /> Applicalion madc . .. _ � __... f ' � �}.
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<br /> Thc undcrsignrd mcucr and/or agcnt in considcratio� o! thc issuancc uf thi� prrmit personall�• agrcrs to insurc full compliancc
<br /> with ordinancr. Nn. .513 nf �hc Ci�y o( li��crett, 11'ash. and to rcplacc .md/or rcpair sidc�cilks, strccts, curbs, guttcrs, catch basin,
<br /> efc. uamagcd in thc coivsc o( t6c perniiltcd work.
<br /> Pcrmissinn is hcrcby grantrd to ihc ��nrk dcscribcd 6ercoq according to t6c approccd plans and spccifi�ations pertaining hcrclo,
<br /> subjccl to compliancc witli (hc Ordinancc o( thc City o( Evcrclt. �
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<br /> .................................RuiL1.nR In.pecior
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