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<br /> CITY OF EVERETT -- DEPARTMENT OF BUILDING5
<br /> APPLICAiION AND BUILDING PERMIi
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<br /> � , ,,, , , ���,�, F,��,� g NS; 117 Q 0 �
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<br /> F. imaRd Girt Ciia� of Cnn�vuction �. Fed I�aid I.ife ( PermLL
<br /> APplication is hcrcby madc (or permit to do tLc following wrork: ____._. . ._......_. ._.......___.. ... .__...._.._ _.. .......___.... ...___.
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<br /> , . _ .._.. . .E....J....._„(�:tif>�.Y._:y_....... . ........__._ _............... .......... ._....., oa Lot. .1...._.. .., Hlock...,.. /,
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<br /> � �` . . .....__.. Addition, Lot is.......... �_: .
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<br /> lSuildinG will U�•. ,%� . .___ .' .._�.: x_ !/._... ` .�....... and ____....... ..:........�... � ...._._............storics in hcight, in addition
<br /> lo. . ...,_ :._....'__ _.bascmcnt. Occupancy �vill Uc_.. . ............ . .� . ....! s .._.-,::r�.�:-: .. _ . ..... ._...... ... .. ......... .._..._.....
<br /> �Illll�lff • . . � . •
<br /> Building will bc . _ _. . . . _ _ .. .... . .. . .(cct (rom ncarcst adjoining lot linc. "
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<br /> Owne� . . . .__. _. . ``� - . ......Address .. ...__ . _. ..
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<br /> �ontraclor...._ _.._ __ � .............:�..�..,._�.r ...�.......,� ..7�_�:.... ._.Address_... .. ......... .... ....... .........__......... . . . ... _.......
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<br /> Application madc _ _. . . . ..�..i.._......1'._ _.�.__,: /1_._......... lly_....... . ___.... ..
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<br /> Thc undcrsigncd oirncr and/or agcnl in considcration ,f thc issuancc o( this pcnnit persanally agrccs to insurc (ull compliancc
<br /> �rith ordinancc A'o. 2$13 0( thc City u( livcrett, 11'ash, and to rrplacc :ind/or rcpair sidca•alks, svccts, curbe, guttcrs, catch basin,
<br /> � ctc. damagcd in the coursc af thc pcnnittcd -�vork.
<br /> Pcrmission is hcrcb)' gnntcd to dic x�ork dcscribcd hcrcon, according to t6c approccd plans and spccifications pertaining hcrcto,
<br /> suhjcct to compliance �cith 16c Ordinancc of thc City of 6vcrctt.
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<br /> Pennit No.._ _.( /.:.._�. Issurd _.:_I...� ( •� �., � . � - - ` -� . � . �
<br /> _ �' � � , _ �....y � � 195.:...r .,, ;.�,c.. .['.<..r_...:.l...r.(..........y... '.._:r✓' � .... ..:.......
<br /> � ' �. Uuddme Im{ec�or
<br /> Rcmarks ........._.. _._ ..._ . ' _ _..._. . ._ . . __ .. . .. ... . . . ........__... . ..... _....... .. ........ ._..... .... ...... ..... _ .__....
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