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<br /> CI�Y OF EVERETT-- D[PARTMENT OF BUILDINGS
<br /> APPLICAiION AND BUILDING PERMIi
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<br /> � . ..'_.........:�.......... ,..._................................ . J_ _ ' _..._.......�...................... � B 11538
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<br /> +yF.ainuvd Cmt � Cl.ve of Comin¢ti�n ✓Fe�ITeiJ Life I Permi� 1'<� No 'y�( �.�
<br /> Application is hcrcby madc (or permit ro do thc following �rork: ._............ ._ _.__. . ._ . __....._...... ... . ...._._ _.__._.. .___. . _ ..
<br /> . _ .. . .. .. _ . . . .. .. _ ._. . . . ... _ ......_._..._ . . . ......._.. ......_... ............. ........... ............
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<br /> At �_........ . ��.....:�.t. .. I-�.......:,..y..... - �.... _._ .. .__, on Lot_.� � �/........, ➢lock... _ . ......_..
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<br /> (NumLcr) " � (SverU �
<br /> of . . .........._.................... ......_..._..................._ . . .. ..... ..._..._ .. Addition, Lot is...__._......_......::......._�._......x.........:. '�+l�
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<br /> Ruiidmg uill bc . . . ...... ..��_.(,... .x..(� 4,..� . . _ . ._. �nd ._.... ._. � , .. ( .__storics m haght, m addition
<br /> to. vu^11r .: 1_ . bascmcnt. Occupancy will Lc . ._.._.. . .i...�.... .... .. . :._ .�� 's,..t . ..i.�/ �. '�p_ . -r,�r�:>
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<br /> ]luilding will bc . . .` "� ... fcct (rom ncarcct adjoining Jut Lnc.
<br /> Ow:�cr _ .. . ......... .'. . -....... .: �....�._��. ._...__..._rWdress_. .. /, .. ... ............... . . ._.. .
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<br /> Contractor_ . .. . . .... ...�..z,i. 'j"�...F._...... .. _ ....__ _..._Address_ _. _ _.._..._................_ .._.
<br /> Architcct _ _ . ... � . . . . _.__ . . .._. . ..._. ._.._.......__...Oa�icr.. .. . . . ........ ..
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<br /> Application madc . .. _ .._ l/,..r_.�. _,.�,)._ �(�'�lf;._�. By__.. .... . . ......... . .... .... . ..... ... ....... . . .... _ _..___
<br /> i � " / ' . . u�, n��a��d, i na���.
<br /> Thc undcrsigncd o�cncr and/or�.gcnt in conridcration of thc issuaitcc o( this permit personally agrccs to insure full tompliancc
<br /> - witL ordinancc No. ?SI3 of thc �ty of livcrc!t, �^�sl�. and to rcplacc .ind/or rcpair sidc�ralks, strccts, curbs, guttcrs, catch basin,
<br /> clt. damagcd in thc coursc of thc pcnnittcd �cork.
<br /> Pcrmission is hcrcb}• grantcd ro thc w�ork dcscribcd hcrcon, according lo iLc approvcd plans and spccifica[ions pertaininG hcrcto,
<br /> subjcc[ ro compliancc trith lhc Ordinancc of thc City of Evcrctt. �
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