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CITY OF EVERETT --- D�nnRTr�tErrT OF BUILDINGS ,% <br /> APPLICATION AND BUILDING PERfv117 <br /> �r s . . rie�: Fn�a �O. B � J 1 U � <br /> $ � $- -- <br /> �Estimeled Cast I Claes ol Constrvcllon Fee PeIC Llle ol Permlt Yea No <br /> Application is hereby made for permit to do the following work: <br /> �� � _ <br /> ( <br /> _ ; <br /> H � <br /> At �� f - ' "�" On Lot _' , Block <br /> (Numbet) , -. . (51reC11 � <br /> of ' ` ' Additiun, Lot is — <br /> �r and stories in height, in addition <br /> Building will be—_--x Plus <br /> to_.___ basement. Occupancy will be — - <br /> Number <br /> Building will be_ feet from nearest adjoining lot line. <br /> Owncr—_ ` _� Addres <br /> Contractor— � `-' � � " �+ddress <br /> Architect_._ Owner <br /> Applieation made �. .'� . , ._i� gy His Aut�otlxetl Apenl. <br /> The undersigned owner andjor 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, wrbs, gutters, catch basin, etc., damaged in thc course of the permitted work. <br /> Permission is hereby granted to the work described hereon, according ro the approved plans and specifications <br /> permining hereto, subject to compliance with the Ordinarn.e nf ;he Ciry of Everett. Plumbing, wiring, gas or sewar <br /> installations are not included in this permit. <br /> - �. BWldinp Inspec�or <br /> � ' .� <br /> Permit No:_— , � , Issued , 196- By <br /> Remarks_ <br />