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CITY OF EVERETT --- Drn,�R�rn-ir-�T �r- ButLDirres <br /> APPLICATION AIJD BUILCING PERMIT <br /> S" ______ I — Y-- —II Llle ol Permp I:I P.ss fIN II 1�{�. 1� � LI'. r' ,.i (,) <br /> EstlmnleC Cosl II Class vl Ca��stru<titn Fec pa10 � <br /> —" —__ --�— <br /> Applitation is hereby made for pertnit to do ihe following work: <br /> :�r — On Lot , Block <br /> (Nem0erl � (Sirrel) <br /> �f Addition, Lot is ___ <br /> Building will be Y Plus_ _and =fories in height, in addition <br /> to____ . basement. Occupancy will be— <br /> Numbcr — <br /> Building will be __fect from nearest adjoining lot line. <br /> Owner_ nddress_ ' <br /> Contractor__ � " - � � Address. <br /> Achitect_.__ _—Owner <br /> APPlication made--- -- ---8;'_ ---- <br /> Hls Autharii[d q9en1. <br /> The undersigned owner and;or agent in ca,cidemtion of the issuance of this permit personally agrees to insure <br /> full compliance with ordinance No. 2513 of ine Cify of :.�erott, Wash., and to replace andior repair sidewalks, <br /> streets, curbs, gutters, caith basin, etc., damaged in the course of ti e 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 ot the City of Everett. Plumbing, wiring, gas or sewer <br /> instaliations are not included in this permit. <br /> '�—"— —�— —��---� � OuiiElnp InsPPctor-'— <br /> Pcrmit No.__, Issued______._, 196_ By <br /> Remarks_ . <br />