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CITY OF EVERETT - - DEPARTIvIENT (1P BUILDINGS <br /> APPLICATIOIJ AND BUILDING PFRMIT <br /> � y � — �T <br /> �-0— � .: � --- ai;,�. Fnm I 1`IO. B �' 1 ��'' l:1 <br /> EstimeleG Cast Class of Conslmctlon Fcc Peld Llle ol Permlt I Vcs No � "" <br /> Application is hereby made for permit to do the following work: <br /> � _ _ <br /> At � 1; I ` On Lot , Block - ' <br /> (NUMber) ' � . �. � (ytrceq <br /> of. ' '""'- ' " ' ' Addition, Lot is x <br /> Building will be x Plus— and stories in height, in addition <br /> ro basement. Occupancy will be— <br /> NvmLc� <br /> Building will be feet from nearest adjoining lot line. <br /> Owner � J , -r.'=i,• ��A ' � . ' � ' ' ' _Address <br /> Contractor 1 Address ' <br /> �. <br /> Architech Owner— <br /> � <br /> Application made '"-`' / , / ! �. � By '' ' <br /> His Aut�oriic0 A9en�. <br /> The undersigned owner and�or agent in consideraYioo of the issuance of this permit personally agrees to insure <br /> tull compliance with ordinance Na. 2513 of the City of Everett, Wash., and to replace and/or repair sidewalks, <br /> stmets, curbs, gutters, catch basin, etc., damaged in the course of the permitted work. <br /> Permission is hereby granted to the work described hereon, aaording to the approved plans and specifications <br /> pertaining hereto, subject to compliance with the Ordinance of the City,of Everett. Plumbing, wiring, gas or sewer <br /> installations are not included in this permit. <br /> _ .., <� — ---- ---- — <br /> �;� ��„ ;; . , Building Inspeetor ' <br /> Permit No._ , Issued / , 196- By � <br /> Remarks _ � __. <br /> _ _ __ _ . <br />