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CITY OF EVERETT --- DEPARTMENT OF BuILDINcs <br />APPLICATION AN[) BUILDING PERMIT <br />of <br />Application is hereby made for permit to do the following <br />At- <br />lNumEcr) (street) <br />Building will <br />On Lot___— _ <br />Addition, Lot <br />Plans Filed <br />Yes No 1� No I Noe DD 12957 <br />Block — <br />__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 �"?'` ' �'t;' ' " Address__- <br />17 ' <br />Application made__ ! By ---- <br />ills AOPoorixed 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 fo the work described 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 />installations are not included in this permit. <br />Building Inspector <br />Permit No._, Issued, 196_ By <br />Remarks <br />IN <br />