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CITY OF EVERETT <br />Address (' Zone Lot Size <br />Legal Description: Lot 1 O ' Z- Block Plat ,�h S /io del �/ ��efQtf <br />v <br />Unplatted Descripti <br />Size of Building_ % Height in stogies <br />Basement Occupancy. 6 e- " r� <br />OwnerPr rQ �i4 ✓y /l urn cw 0 Contractor "f <br />Date /�►. ! I G• L' Permit No. 3 _ <br />Front <br />Planning: <br />Traffic: <br />Engineeri <br />Water'. <br />Electric: <br />Plumbing: <br />Building: <br />Signature {!%,•- <br />