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CITY OF EVERETT --- DEPARTMENT or BUILDINGS <br />APPLICATION AND BUILDING PERMIT <br />D Plans Filed N R ('� <br />Cast Class of Cmnlrudlon Fee Paid II Lite of Perm —4 Yes No II ` o. B 1 2 6 5 9 <br />Application is hereby made for permit to do the following work; <br />/fo...d-T/A/3' Y' <br />At 'y� ? On Lot <br />(Numberl Istreet) , Block___— <br />of Addition, Lot is <br />Building will be _x _ Plus and stories in height, in addition <br />to Number basement. Occupancy will be <br />Building will be feet flam nearest adjoining lot line. <br />Owner-—'r'�''% /d.c%�+� 5��� Address <br />s <br />Contractor '�U 's ( �'. ✓' fne�iv� p/tip Address <br />Application made �f <br />/11 <br />His Autnorlred A,nt <br />The undersigned owner and/or agent in consideration of the issuunce...f this i:ermit personally agrees to insure <br />full comt.1c,.ce with ordinance No. 2513 of the City oI EYPrPtt, Wash., acid to raplace and,/or repair sidewalks, <br />- <br />streets, curbs, gutters, catch basin, etc., damaged in thr: course of the permitted work. <br />Peimission is he*eby granted to the work described hereon according io the approved plans and specifications <br />pertaining hereto, subject to compliance with the Cirdinance of the City of Everett. Plurrbing, wiring, gas or sewer <br />installations are not included in this permit. _ <br />J-- Building lnswtor <br />Permit No.__—, Issued 196 ✓ Bye . <br />f2emnrkc <br />