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CITY OF EVERETT --- DEnnRTr�ENT OF BUILDINGS <br /> APPLICATION AND BUILDING PERMIT / <br /> i -r .. ,� _ ,�:— - — .� r- <br /> l ',:J "' Plnm FIIaN N t <br /> $ � `—� — — Ycs No +,�. B - � `� 6 5 . <br /> Es�lmmtetl Cost Cluss o/ Constrvetlnn Fec Paitl Lile ol Permit <br /> Application is hereby made for permit to do the following work: <br /> . • 4�.. . __ ��� . . . <br /> I ,l _ � ' � _ . , <br /> At 4' _On Lot__ , Block • ' � <br /> i NurrDcU � � (Stf�et) <br /> of , i `'' ' ' ` `. � t '' _ 'i Addition, Lot is x <br /> � Building will be--� Plus _and stories in height, in addition <br /> to-- ._ _. basement. Occupancy will be <br /> � Number <br /> � Building will be feet from nearest adjoining lot line. <br /> I, I • - <br /> I Owner_ • Address <br /> Contractor ' " — Address <br /> �� Architect Owner � � " - "—- <br /> � � i <br /> Application made "� '-' By <br /> ' HI� AUMorIxN A9en1 <br /> The undersigned owner and/or agent in consideration of the issuance of this permit personally agrees to insure <br /> full compliance with ordinance No. 2513 of the City of Everett, Wash., and to replace and/or repair sidewalks, <br /> streets, curbs, gutters, catch basin, etc., damaged in the course of the permitted work. � <br /> Permission is hereby granted to the work described hereon, according ta the approved plans and specifications <br /> pertaining hereto, subject to compliance witli the Ordinance of the City of Everett. Plumbing, wiring, gas or sewer <br /> installations are not included in this permit. <br /> - �. '! �.. _ y . � . _ eullaloY InsPK1o� <br /> Permit No. , Issued % ` , 196— By_ ' � <br /> Remarks <br /> , � �/ <br />