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CITY OF EVERE-17 _DEPARTMENT OF BUILDINGS <br />APPLICATION AND BUILDING PERMIT <br />I <br />Application is hereby made for permit to do the following work: <br />d <br />py'... ""Nzil B M 11775 <br />.... . ....................................................................... . .......................... <br />1 . <br />11 11 ............... <br />................... . .......................................................... <br />........ . . ....... .................. ...... . ...................................................................... . . .................. . .... . . ..... <br />At /* 1 .1 <br />. =.....W... VA . . ................. .) .......... ... ...... ... ..., on Jot........................ Block....................... . <br />r) (S t M.- <br />of. ............. ........................... .. ....... .... . . .................. Addition, Lot is ................................... . .......... A ............................ ...... . ... <br />Building will be ................................ X. .... ............................ ...... and .............. ........................... ....................... stories in height, in addition <br />to ........ ....bascinent. Occupancy will be . ............ ..... ......... . .................. <br />Numb,, <br />Building will be feet front nearest adjoining lot line. <br />Owner_.__..._._ .... .. ... .. .. ..... ... .......... ... ....... ........... ...... Address <br />Contractor.. ............. .......... Address . ..................... ............................ .... ........... ................... <br />Architect .... .... ................. <br />........... 0 mer.... <br />. ..... ... .................... . .. . ... . ... <br />Application made .. ... By......_ ...... .. ............ _................. <br />• Ifi, A d A,,m. <br />The undersigned owner and/or agent in consideration of the issuance of this permit personally agrees to insure full compliance <br />with ordinance No. 2513 of the City of Fvcrctt, WiINIL and to replace and/or repair side%%alks, streets, curbs, gutters, catch basin, <br />&c. damaged in the course of the permitted work. <br />permission is here[))- granted to the work described hereon, according to the approved plans and specifications pertaining hereto, <br />subject to compliance with the Ordinance of the City of Everett. <br />Permit No. <br />Issued <br />/K 195.. <br />Remarks .... ........... .................. <br />-6;_-4p4- 6 <br />V� <br />.................... <br />