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CITY OF EVERETT -- DEPARTMENT OF BUILDINGS <br /> / APPLICAiION AND BUILDING PERMIi <br /> / �. , � <br /> $:-�+" � I'lam FiIcJ *T� . ' <br /> . ...... ................. . _ . _...._._................. ,��, ,,. B �.�: 114 3 3 <br /> .�..fw�ima�ed G:t CI�,� of Comtruc�i�n _..F.. .��,�.�..._. _. . �'�. ..� n....��� <br /> - APPlication is hcrcGy madc for permit to do the (ollowing �vork: . . ...... . . ............_.... .__....... .....__....._.. _ _.__.._....._......_. <br /> � <br /> �... . � � � . . ,<_i.�. . <br /> . . _ `... _. _. .. _. . .. . . _ _ .. .. ..._.. . . . __.............................................................._.._.._............................... <br /> _ .. . .. _...__._ . ..__ ... ............... .........................._.........._.............._............................................................................._.................................... <br /> , _ <br /> .__ ..._.... . ...... . . ......... <br /> �� /.� � . __ _ .......................... ..................... <br /> . ���... . <br /> At ...._ . . __. _ ..... . ......... . ..._ . ....__. .. __..._, on Lot... ... ....., IIlock. ...... . . . <br /> (NnmLer) (Slmet <br /> of . . .. . ......._... .. ._. ........_ ..__...__.... . .. .. . . _. _ Addition, Lot is __.._....... . . ......... .x.. ...... . .................._......... <br /> Huilding will bc_. . ... .... . ._ . . x . . ._ _ . . and _ . __..._. ...__... .. .. .__....__..-storics in hcight, in addition <br /> lu. . . . ._ _. ... ...bascmcnt Occupanry will hc . ... .__. .. ...______.. ._._...._._... . .._ ._...... ....__.._. . .__.__...._..._.. <br /> :VumLer <br /> Ituilding will bc ... _. . . . __.. . ._. .(cct from ncvcst adjoining lot linc. <br /> o i <br /> � 1 � <br /> ON'IICf �. .�..�.�L � .�. i 1.l . � l �..� . <br /> ._...._.. ...- .. ._ . ..._.. . _. . __Address _.._ . <br /> ...._.. _ ._... . ._ . _.._ __.._... .. ......__...... .. ....... <br /> Contractor � .`�:.�'t.�.f' 4-.. .....' •_�; ...� .�..j.._....._ . ._...__.. .Address_._.._.__ . <br /> ....._.._. .... ...... . ....... ..... . . ........__.... <br /> Architcct _. _.. .. .. . . ...__..... . _ ..._. .__.._.._.. Ouncr. `• t �-s'�.�'i �t'��.t 1/ � � <br /> ....... ...... .__. .... ....3_ _.. . . ... <br /> n��s�,ua„ madc . ; � ` . /' �. !:: , • n. <br /> , ..__. y .. . .. . . __. ... . .. <br /> ... __..,._ . . ...... .. ... <br /> ' �llis:'AJtlmrircJ A¢rnt <br /> TLc undcrsigncd o�rucr and/or agcnt in considcralion o( thc isscancc o( this permit person:dly agrccs to iusure (uIl compliancc <br /> o•ith ordinancc No. 2513 0( t6c City o( I?vcrcu, �VasL. and to rrplacc .:nd/or :cpair sidcrralks, strccts, curbs, guttcrs, tatch basin, <br /> cic, damagcd in thc caursc of thc permittcd work. <br /> �' <br /> Pcrmission is hcrcbp yrontcd to Ihc �vork dcscribcd Lcrcon, according /oi thc aj�provcd plans anJ spccifir.�tions pertaining hcrcto, <br /> subjcrt to mmpliancc �vilh lhc Ordinancc o( thc City o( Iivcrctt. � <br /> i� <br /> . .. , .'ti../ �.. 4 r' . .._ <br /> ,.. ., .. �_ . _ . . .._. - .. . .. . . ... ....... <br /> _ .'" C_ , / _..._� ( ` <br /> Pcnnit A`o ��_) �. .��, Issucd . _... ._� , . (... . .. , I�5) �. �..r� `• \ � .�� <br /> }....... .. ........ .. ... . .. . ....... . . ... . <br /> ( fnilAina In.�rcwr <br /> Rcmarks _...... ..._ _.....,._ __ . _.__. . <br /> . _. . ... . ... .__... . . ..,.._........... _ ._ .......... ... ........ _ _ ....._... . ....._... .......... <br /> mti'y.,�a,6 /,_,_' <br /> 1 <br />