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CITY OF EVERETT -- DEPARTMENT OF BUILDINGS <br /> APPLICATION AND BUILDING PERMIi <br /> f •"; � .. � '� " .... .. . . ......_ .... P(ans Fitned �" 11821 <br /> ..Y.............................. ........................................ . .✓...._....,.�.._.._.. .... ....'.r.. <br /> Y, N;�, <br /> V.��imvtrd Grt Clae� of Comvuc�inn Pae Iaid C( �f I4rmit.. <br /> Applicntion is hcrcby madc (or permit to do thc (ollowing work: . .._...... ....._._..._._....__...__.___._....__......._.............._.....___....._........._. <br /> � , <br /> . ' '� �� .-' .. ..�._. .. ' ' _...,. . . .�_ . . _. .. ... ... . __.._ ._ .. . ........ . . .. ............ ............................ .... ...... .. . <br /> .. .. . . .. ........... . ......_ _. _....__...... .......... ..................__... ....._. ................_......................................._.........._..................................._.................. <br /> . _ . __.................... ..........._..............................................__..._........................._..................._........................._......................_..........._........_.......... <br /> ,. ,�� ' <br /> Ac . .......��..:.'.tie�c'-yrn._..!:;J��w.�—a.r • . . <br /> �,.�..t. ...... ............_.._.. ......_.... ..._. .._......._. ......._........., on Lot.....__...._.__..., Dlocic........................ <br /> (NnmLer) (SVovl) <br /> O� . _. ....._. ._ t�(�ditiOO� 1.0[ IS_.___........._....__......_...........1[............._._........__._..........._.. <br /> ........_._........_....._ ................................._ ___._. .. <br /> Ruilding wilt �e. . .. . .._._ _ .x ... . .. . _ _ . _...and......___ . . ........__.. ..... ..... .. ..... .....atorics in hcight, in addition <br /> to. ....._._._.._. ._.bascmcnt. Occupancy will bc .___._... . ..._..._.. .............._ . <br /> . ._....._.... .. ....... ......_._..._ . ......_... <br /> ����u�� <br /> [Suilding �rill bc _ _ _ __ Icc[ Irom ncarcst adjoining lot linc. <br /> Owncr _ . . :. . . .. .�.__� .�.. �.::5....... .... . ......._ _ .._..._...........__.Addrtss _.. .._. ....__....... .__........___ . _........ _ ............. <br /> Contractor.. . ' .. .�_�.... .........� ........ ... . ....._. . .. ...___.......Address ._. ._ . . ._ .. <br /> _. _ . . ......... ..._....._.... . ......... .. ....._.. <br /> ; � � • <br /> Architcct _. __ _.... . ___ . ..._ _....................__...................._....................Ow�ncr __........._..... .....:..:: ..� 'n <br /> .. , . . .�...._..,. ..... _...................................... <br /> . . � r. <br /> . , <br /> Application tnadc . _.. . .. :-��.1t.__. :�...�.�...1�_ .j. l,- ._..'__._..... By....... .._.... . . . <br /> � . ..._ _ ._ ........_._ .... . .... ... . .... <br /> ............ lli� Mnh�rircd Aan�t <br /> Thc undcrsisned o�rncr and/or agcnt in considcration of thc issuancc o( t9is permit personally agrccs to insurc (ull eompliancc <br /> ��•ith ordinancc No. .513 of thc City u( livcrctt, \\'ash. and to rcplacc :md/or rcpair sidcwalks, strccls, curbs, gultcrs, catcS 6asin, <br /> c[c. damagcd in thc coursc o( ihc pcnnittcd t�•ork. <br /> Pcrntission is hcrcby gran[cd to d�c wark dcscribcd hcrcon, according to t6c approvcd plans and spccifuatious pertaining hcrclo, <br /> subjcct to compliancc wi[h thc Ordinancc o( thc City of 6vcrctt. � _ <br /> �� / <br /> .�' . :. _ <br /> i,.......�.......�V:4.<..::_.! _.........:<_...___.._................................... <br /> Pcrmit Na�.���� 1 %."+. , Issucd . ... j� r'l.�...�..... .... , 195. .. _.. ....:..�.'t� t..r._t.j �� ' --� ............ . <br /> .... � ......: �........ .......................... <br /> ' Guilding Impacmr <br /> Rcmarks._... ._.. __. .. _.... .__..__.__ .. _ . _.. . _. .. _. ..._._. ... ._____ ......... ...._ . . .............. <br /> .... . ..... . ........ <br /> mt,�,6 <br />