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<br />CITY OF EVERETT --- DEnAxTr�EN•r OF BUILDINGS
<br />APPLICATION AND BUILDING PERMIT
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<br />Estlma�M Cosf ii Class a( Cansircc�lon Fee Paltl Llle ol Pm'mll
<br />Application is hereby made for perm�eit to do the following work:
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<br />At �', "`.A.`„' �, �/ On Lot ! , Blod< _
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<br />of J � '/�/ r $ 6V .� - '-c1,� / �_ . �-", .0 /,. /�ti� Addition, Lot is x —
<br />P,uilding will be 2�� �'`' � P�us � and !� `t' �tories in height; in ad�ition
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<br />to `� l�" basement. Occupancy will be � �� t��'"�'"
<br />Numbet �� � , ` ��
<br />Building will be" 4�`'" Yj""` �" feet fram nearest adjoining lot line.
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<br />Owner �%'U"` '�`'t� `"' ' ,.�a-c"�'.` Address
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<br />Contractor Address—.
<br />Application
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<br />The undersigned owner andjor agent in consideration of tre issuance of this permit personally agrees to insure
<br />full compl�ance with ordinance No. 2513 of the City of Everett, VJash., and to replace and/or repair sidewalks;
<br />streets, curbs, gutters, catch basin, etc., da�naged in the ccuise of the per,�nitted work.
<br />Permission is hereby granted to the work described hereon, according to the approved plans and specificafions
<br />pertaining h�reto, subject to compliance with the Ordinance of the Ciiy of E�ieret�. Plumbing, wiring, gas or sewer.
<br />installations are not included in this permit. � f (�_' �
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<br />— ---�`'. Bulltlln9 Inspeetm
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<br />Permit No. , Issued—�, 196- By ---
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