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� <br />CITY OF EVERETT-- DEFARTMENT OF BUILD:NGS <br />AP/'LICAi1C1N AND AUILDING PERMIi <br />Yans Fi`JII g N: 11239 <br />Application is hcrcby made (or pc�mit to do [hc following work:....__.__ ................_..........__........_._.__._............_...__..........._..._..._. _._ .. <br />g. <br />� • r <br />✓ r .. � ..��.? t"�i.. .... r ' .....5:. _...._.. . ...._.... .... <br />.. .. ...__.........._ _....__._ .__.... .,.,-.. .._... <br />. . . _............__ .... .. ........_.........._......................._......_....... .............................................._.................................._..._................_......_...................... <br />' '� � ,G... " <br />At . ..:..... L' / _ . . ._..........., on LoL _....._._....� Dlocl ....._._....._._. <br />:.�.x.. . � �..:. `.:.`.P -{. -� _. .. __._ .. <br />(Numbcr) . (5lrcct) <br />o( _..._______ .................. .._......_.......__.............. Addition, Lo[ is. ......... ........_. .....x.___._ __........._. <br />6uilding will be . ...___ .__._.x.._ . .. _.___and . ..._...__ . .............. ... ......_......storics in licight, in nddition <br />ro ._.__.._.... ...bascmcnt Occupancy will bc . ...___...._...__..... ._..__ __.__ ___... <br />__._._ ..____ <br />Numbcr <br />13uilding wiyll bc. ,;.�._ ..._,...:�_ ...___. _. . Ccc[ trom ncares[ adjoining lo� linc. <br />Owncr !.�� � � ./ 7 ..,.'.-. .__. . .. _._.... ._.. .. <br />� � .�_.. L,- . �. . _.___.__Address.. ._.. ...._ . ._.. <br />[r <br />C:ontr.^.cror.__.._ _;�.d.�.._°-.,�..:�..� ...__.....Address._ . _..._... ._._........._. ....___... ._........ . ._.. <br />. ._.__.._... <br />Architcc[ _._ _..__._... ..._.__...__. ... ........_._ ..._._.__...__..O��ncr _ _.__....... . ............_ . . �._ ......... . ....._ ......... <br />L � <br />App!ication madc ' . .._. _. By ___. .._._..�:� ... �..:. . � �. . ': . <br />...,-r. ..� ...._ : _�...... _...._ �..,_ <br />..._._ ...._ <br />.....11 1 �1 r.rd Acrn�y <br />The undersigned o�mer and/ur agenl in consideration of the issu�nce o( [hi� permit personally agrees to insure (ull compliancc <br />with ordinancc Nn. 2513 of thc Gity o( lvcrctt, �L'asli. :md to rcplacc �end/or rcpa � sidc�ralks, strcels, curbs, guttcis, catch b:�sin, <br />ctc. damagcd in thc coursc uf �hc pcnni�[ed work. <br />Pcrmission is hcrcbp qran(cd ro thc �cork dcscribcd hcrcon, according b thc approccd pl;ms and spc�:ifications pert:iining hcr..to, <br />su6jcrt lo cumpliancc �ridi lhr Ordinan�'c of Ihc Ci.y oI livcrc[t � <br />._ .............. t..........___. ._._._..:. .. :'. . .:.....:........__................_... <br />Pennil A'u. ..... . , Issu��d _ , 195.._. _._._:.�_:...::...r�....._........__ ............._.:.......__....__:........_........._,::'_......._.... <br />. - CuJdin4 Impccwr <br />Rr,marks...._. __._..... <br />ni`=�.b6 <br />