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CITY OF EVERETT -- DL-PARThfENT OF BUILDINGS <br /> APPLICATION AND BUILDING PERMIT <br /> S — II_ _Clas�ol[onsiruclion II � Fcc Pa10 II — ---- II Pianf FIIM II hTO. T � � :' J 1 <br /> Estimetetl Cosl lr 17 �. . ..4. <br /> — Llle ol Permit �es No <br /> Application is hereby made for permit to do the following work:_ <br /> At__ ;, '— <br /> lNumeeq (Shpeq �n LOt___ � Bloek <br /> of_ Addition, Lot is_ <br /> Building will be_____x _ Plus_ _._a�d_ �tories in heiyht, in addition <br /> �0--- —basement. Occupancy will be <br /> Number _, <br /> Buildin� will be_ feet from nearest adjoining bt line. <br /> Owner_____ _Address___ <br /> Contractor <br /> ddress <br /> Architect <br /> Owner <br /> Application mode_--- 9y_ -- <br /> The undersigned owner and%or agent in ccnsideration of ihe issuance or this permit personally'agrees to Insure <br /> full compliance wilh ordinance No. 2513 of ihe City of Everntt, Wosh., and to replace ond;or repair sidewolks, <br /> streets, curbs, gutters, catch basin, etc., damaged in the course of the permitted work. <br /> Permission is hereby granted to ihe work described hereon, according to the approved plan; and specifications <br /> pertaining hereto, subject to complicnte with the Ordinunce of the City of EveretL Plumbing, wiring, gos or sewer <br /> installations are not included in this permit. <br /> BUpCIm Ir•y;;,�IVr <br /> Permit No.__ , Issucd________ �9ti_ By__ <br /> Remarks_ <br /> �� <br />