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CITY OF EVERETT --- DEPARTMENT OF BUILDINGS <br />APPLICATION AND BUILDING PERMIT <br />$ <br />, II Ciass of [onstructlon II Fee Paid II Life of P.tt II Ylas s F No • `fie L 12377 <br />ESNmated Cast <br />Application is hereby made for permit to do the following work: <br />At— -mot t —On Lot — Block <br />(Number) (Street) <br />of — Addition, Lot is < <br />Building will be Y 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 />Owner —Address-- <br />Contractor— ___ Address_ <br />Application made -_ ____—_ By-__— _ <br />-- Nis Authorized Agent. <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 describer) hereon, according to the approved plans and specifications <br />pertaining hereto, subject to compliance with the Ordinance of the City of Everett. Plumbing, wiring, gas or sewer <br />inst..Ilotions are not included in this permit. ' <br />— -- ----- - Building inswto� <br />Permit No. _, Issued- , 196— <br />