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CITY OF EVERETT-- DEPARTMENT OF BUILDINGS <br />APPL/CAiION AND BUILDING PERMIi <br />;'�,' f'ro�� B ' 11202 <br />N': <br />Application is hercby made for permi[ lo do dte (ollowing tvork: . <br />._ ......._.........._._ _ ............................�..........._.._._._.........._. _.__....._.................................._........._.........._....._................_.....__.._....__............. <br />r <br />At ' .� ...t:�...r�.i C�!. ...'�'�.c- � L,--": ...____, on Lat... ......_._., Block_........ _....._.. <br />. ._....._. . . ........ .. _.... __.....___.. <br />(.l'umlxr) (Svcct) <br />0( ._.. . _.. .. ._... __._ ...__... ._.._.......... _ .... ._._ __._. _. Addltion, 1.0[ i5 __..__._.. ..._....... .....:........__ - <br />. ........ _ ... .......... <br />Building �cill bc. ._ ...____........x._ .... ...... ....._..and .._......... __....__...s[orics in hcigUt, in addition <br />. ..._......_.__. . . <br />to . _ ._ __.__.. ... bascmcnt Occupancy will bc_.. .. . ....._...... ......... ... .. ......_. .... ..... . . _.. <br />......__.. ........_.. _... <br />V nmLcr <br />Building will bc .... .. . ._.___.. _.. .____._ . .. (ect (rom ncarest adjoining lot linc. <br />Owncr. ...._._.'` . ......_.. � 1 �....'__.. . ....�,.:.-�_... . ____..___Addrrss _.__ _ . <br />.� . . _.._..___ .. ... .. .. .... .. . . ............ . .. ...... <br />Contractor. . . 1� ��� � �� � �� � , ........ Address . <br />— . �`•r--�*'...-.........._.__... ......._._ ..............................................................................._ <br />...__......: '_.d.._L......'__ ....................._ _...__.. <br />Archilcrt ...__. .. ._. . __ .._ _ ..... ........._..... ........_.._...O�cncr.. __. _._. _. _. <br />.__..._.. .... __.___...._.. <br />Applica[ion madc � _.. ... .�. _ ..___ _._....... _..._...._._. IIy__.._. .........__._. _..__...._. ....._._..... _..__..._....__.... <br />Ilis nutLmimd narnt. <br />'TLc undcrsiGncd o�cncr :md/o: agcnt in considcration o( thc ISSO811f.L` OE IILS permit personally agrces to insurc (ul] compliancc <br />wilh ordinance No. 2513 of the Ci[y of liveret[, 1VasL. and [o replace and/o[ rcpair sidew�lks, streets, curUs, gutters, catch basin, <br />elc. damagcd in the mursc oI �he pennil[cd work. <br />Pcrntissiun is hr•cbp gran[cd to thc ��rork dcsaibcd hcrcov, accordiug to thc approvcd plans and spcciiica[ions per[aining hr.re[o, <br />subjccc ro compliancc �rid� thc Ordinancr. o( thc City of I•:vr,rctt. � <br />PcrmitA'o. _. __. . . _ , Issucd .. . ... .. . . . . . 195.. _ . _. . .........__ .. ...... ._.... .. . ....... .. .............. ._. <br />._ .. r��l4�ine ��upcc�,�� <br />Rcmarks ...._. _ _.._.. _ _._ __._.... ... . __ . .__ . <br />_ _. . ....._...... . _......___ . .___......_. . . ._._._... .._..._..._.. ....._... <br />dL'-�b <br />