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CITY OF EVERETT <br />Address Zone... Lot Size <br />Legal Description: Lot Block <br />Unplatted Descriotion <br />p o� <br />�O LSO <br />1�IY� iOOO <br />Plat <br />Size of 7uilding _- Height in Stories — <br />Easement _ -_ Occupancy_- <br />Owner-�,,(�_/_�—Contractor <br />Date/— 7— 70 Permit No. <br />Signature _ <br />Planning .--- <br />Traffic <br />Engineering__ <br />Nater <br />Electric <br />Plumbing._ _.___ _�%�_ •-----------_._. <br />Buildings <br />