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'.'�-r4:: �. <br />CITY OF EVERETT-- DEPARTMENT OF BUILDINGS <br />APPLICAiION AND BUILDING PERNiIT <br />$ __..._,:.::.....__�.--...._......_......;..._��,.._�r,...:�1.. . _....I�; .,.j� N.� 11G4� <br />... i.�, ea� B � <br />.�. v <br />F..timatrd C.t Claa ( Corotma�'on F P d Life ol Permit <br />Application is hcreby m�dc (or p;rmit ro do thc (ollowin� work: . ._. ._._..__.. . ._......_ _ _...._...__. .._._...__..... .____. . <br />. . . . . .. . _ . .. . _. .. . . _ . __._ . . ._ ._....._ ................................................................................................._. <br />. . ...__ _. .........__ .:' ..................._.....__... ,.._............:..........�::.._...:::........_'....._:.......................................__.............................. <br />;� <br />_ . ..___.. __ ...............................__............... ......_.. �.....__...._......::.............._................................._.............................................._.................. <br />� � ' <br />At ��.. �.�'.i. ...L.... �...:.L ' �I i.'�L :..�._. . � �� .. .._... .. _ . ............., on Lot. ��.........__._..., Dlock._.. <br />_'- ,_. .... ....._..._. .. __ .............._. <br />(NumLer) '�� (Slrcel) <br />of. ..._._._. ...._........._. . �� ................ ._. ._ ..__ Addition, [.ot is_...... ..................... x. _......_........ ...........__. <br />Building ��•ill bc.. .. _ _.. _ . x .. . _ . . . ._and __. .. . ....... .... ... ... .... storia in hcight, in nddition <br />. ...__...... <br />tn ... _.bascmcnt.Occupancy �rill 6c...__. ._.__...._._ ... ..............._......... _.._..__. ..._.__ ..._..... <br />�'����ix� <br />ISnildinG will bc .. . .. .. . _ ._ .. . (cct frmn ncarat adjoining lot linc. <br />O�encr . ......�....'_�_. �. ...._:..�. � :......:...._ . ..._ ....__...._.Address ......._ .. . <br />..____ _._... . .._..___. ...... ..._.. <br />Cuntnctor. . _. .... ..� 2�d....:1..� ..•..' .___Address __.._... . .._ .. <br />. ... _ ... ... ........ . _ _ ... ......... .. .......___. _ . . ......._ ._....._... <br />Architcd . . _. . . ..._.._._..... .. ..._._._.. . .. _...... .._....Owncr ._.._.__.e �: �:�:., ,'7., _ �.i_.4..4-..%Z,...:._... <br />:\pplira�ion madc . _ .. . '_. '... . :. . .��_.�. _�.._.. By .._._... . _.._ . _._ . . _ . ... .._...._.. <br />. _. . m, n���i��.�,�a n<.��. <br />7'he undersiGned q���ner and/or agent in consideration of the issuance o( this pennit person:Jly agrecs lo insure full compliance <br />wid� ordinnnrc \n. ^513 0( thc City of livcrctt, \1'asL. nnd to icpl�cc .md/or rcpuir sidc�r:dks, strccts, cur6s, guttcrs, catch basin, <br />ctc damagcd in thc roursc of thc pcnnittcd wurk. <br />Pcrmissinn is hcrcbq grantcd to dic �wrk dcscribcd hcrcon, according to thc appro��cd plans and spccilications partaining Lcrcto, <br />a�bjn�t to rnmpli:mcc �s•ith lhc Ordinancc or d,� c��>� or r•.,��T��c. . <br />._......_..... _ ..............._........... _.._....._,:.........:.....................::.................. <br />� � . � <br />u � .r / r� _. . � ' .. <br />Priu•,rt \n. . . � : • � Issucd _ .�...'...,.� , 195 . L.. ........ '..1-.k.f.1..<....!......:...r...::_C.....:�........�_..1.:.:..�t�..::.:.�....r._�...... <br />,i�`" ' mud��e t�,����,. <br />Rcntarks _... . . •.. . . . ._ . .. . . <br />_ _ ..... ..._...._. ._.. ....._.__.........._ .._ .... ......... <br />2'^a6 <br />