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� <br /> \ � <br /> CITY OF EVERETT --- DFP��R�rn�r-.�.��� ��- BuiLnirres <br /> APPLIC�TION AND BUILDING PERMIT <br /> — : � � —_ <br /> �_ �_'____ _ I Plam Filed 1�T�. D � /� ^ f (l <br /> i\ l7 _L - v <br /> EstlmaleE fost I �lass ol Construetian I Pee Pab Ll/e of Pcrmit —I Yes No , _ <br /> Application is hereby made for permit to do the following work: <br /> � <br /> --�--- <br /> At On Lot ' , Block i <br /> (Numberl . ' (Shcell <br /> of _ _ Addition, Lot is x <br /> Building will be ___x Plus and___stories in height, in addition <br /> to basement. Occupancy will be <br /> Number <br /> Building will be— feet from nearest adjoining lot line. <br /> Owner Address— <br /> Contractor _ Address _ <br /> Architect —_ Owner_ <br /> Application made_ _ By ___ <br /> _ NI5 Authorii•� Aqent. <br /> The undersigned owner and�or agent in consideratio� of ihe issuance of �his permit personally agrees to :nsure <br /> full compliance with ord:nance No. 2513 of the City of Everett, Wash., and to replace and/or repair sidevialks, <br /> streets, curbs, gutters, catch basin, ecc., damaged in the coure of the permitted work. <br /> Permission is hereby granted to the work described hereon, according to tye approved plans and specifications <br /> pertaining hereto, subject to compliance with the Ordinance of the City of Evemtt. Plumbing, wiring, gos or sewer <br /> installations are not included in this permit. <br /> ,. �—'- 9ulltling Inspttlor <br /> Pcrmit No:- , Issued _—_, 196_ By <br /> Remarks <br />