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CITY OF EVERETT --- DEnARTr�ErrT OF BUILDINGS <br />APPLICATION AND BUILDING PERM�T <br />-�� �� _ �� �� II A� i 61 <br />Plans FIIM I�TO. 7] � <br />Ves No 1� �� <br />Application is hereby made for permit to do the following work:_ <br />� -, — �- .. <br />At " "� ,. F,�..-':.�-��_ / < j /( <br />' � ' On Lot <br />`�Number) i . r f5lrceq —� Block <br />Uf :t. `1.,:._ ,4i�l.ri.���= <br />— Addition, Lot is <br />Bu:lding will be x Flus and =tories in height, in addition <br />to—____ basement. Occupancy will be <br />Number - <br />Building will be_—_ __feet from nearest adjoining lot line. <br />� <br />Owner ' � ' � � ` � Address <br />Contractor '' ' � ' __ Addresc .- <br />Application made -� , � i � �% gy <br />Hls Authorlxetl ngent <br />The undersigned owner andjor agent in consideration of the issuance of this permit personally agrees to insure <br />full compliance with ordinance No. 2513 of the City of Everett, Wash., and to replace and/or repair sidewalks, <br />streets, curbs, gutters, catch basin, etc., damaged in the course of the permitted work. <br />Permission is hereby granted to the work described hereon, according to the approved plans and specifications <br />pertaining hereto, subject to compliance with the Ordinance of the City�of Ev�rett. Plumbing, wiring, gas or sewer <br />installations are not included in this permit. <br />:,, i _, _ <br />' � � BUlltlinq Inspeclor <br />I )'(I � . I <br />Permit No.�' �'', Issued.��_, 196_ 6y_ " � <br />