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CITY OF EVERETT --- DEnARrn�ENr OF BUILDINGS ✓� �
<br /> APPLICATION AND BUILDING PERMIT
<br /> � �---- A ry
<br /> Es11m ^� _.____ '_.___
<br /> �-___ ______ .__�.,„II p II `—�� �� ,L �L � 1
<br /> -—�- .._ _ _II �V"�__ __II_ _ PIa05 FIIM II '
<br /> �_ eleO Cml CI s f C 1 fio F PaiE Lifp f P B ... Yes No i .
<br /> Application is hereby made for permit to do the following work: �,_�__
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<br /> ._._. ._._ .. _ .. , , _ .. c_ _
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<br /> At___. .' � i � �.:, -_��.� ---- - __� __ .
<br /> �N�,n� '�___..._.� r is6�,r� On Lot_- _, Block... _ �,.�_._
<br /> of__._ ----- _ • . . _..��{, .
<br /> .�. Addition, �qt is__�_,__ __,_�` _
<br /> Bu�idingwill6e__ _ `.�Plus and_�--.stariesinheight, irFqdditionl
<br /> rO- --- --- _____basement. Occupancy will be. _______
<br /> Num�er . _ ,__. ..
<br /> .. ._.
<br /> .. .._-.___'...._ _. ___ .._.____._.
<br /> Buildiog will be_� feet f�om nearest adjoining lot line.
<br /> Owner____ .c- ��':i y.�' '--�--
<br /> ddress
<br /> Contractor`_• � a�r.•:a-�.._ ><. . . . „—_-_--'-- ----- —
<br /> � �/ �_�4ddres�_ ''
<br /> Architect_ f � ��- �
<br /> Owner«=.��_t'''Y`-,..t. - � '...�'
<br /> Application made '�. ��!.`1 ! � -� ' —�- _ _ _ �-
<br /> ��— By--- ---- �,"
<br /> The undersigned owner and/or agent in consideration of the issuance of this permit personqlly'agrees to insurr.
<br /> full compliance with ordinance No. 2513 of the City of Everett, W�h., on� to replace ond;'or repo�r siderraiks,:
<br /> streets, curbs, gutters, cotch basin, etc., damaged in the course of rhe permitted work,
<br /> Permission is hereby grqnred to the work des�ribed herepn, according to rhe�Qpp�oved plans and speciFlcations
<br /> pertaining hereto, subject to complionce with ihe Ordinance ot Yhe City o{� �ye tt -Rlumbing, wiring, gps or sewer
<br /> instailakions are not included in this permit, / �
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<br /> ..� � . � I � , , �i.. 1'..'. ,.c-�
<br /> Permlt No._,, Issued � � '' � " - �-y _ _ _ _ _ awmmo{nsuKw�`
<br /> ---T---, 1°6_� By ;`"�, ------ --_.
<br /> Remar{cs--_•-,-..- , ,.
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