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CITY OF EVER.ETT --- DErnRTr�FNT or- Bu►t,Dirres <br />APPLICATION AND BUILDING PERMIT <br />II Uass ol Con•.�vcfion II � Fee PMa �"II--' Lile ei Pcrmlt III Yea s FiIN II 7�iO. 7l � 4. a J �. <br />1\ 17 <br />Application is hereby mude for permit to do the following <br />At •- <br />INvmEcr)' <br />Building will <br />�, ,t c. r <br />. �. �strceu <br />I <br />. L, <br />Addition, Lot <br />f <br />Blocl� '= <br />Plus_ — and —stories in heiqht, in addition <br />to basement. Occupancy will be_-- <br />N�mDe� <br />Euilding will be _feet from nearest adjoining lot linc. <br />Owner Address <br />_ � l . .. <br />Archilect _ _Owner _ , -L <br />_ � ( <br />Application made----=--� � �� •� By . �* �'�� ��—' �`"` � `' ------- <br />His Autl�oNieE Apent. <br />The undersigned owner ond�or ogent in consideration o` the issuance of this permit personally agrees to insure <br />full compliance with ordinance No. 2513 of the City of Ev�rett, Wash., and to replace and/or mpair sidewalks, <br />streets, curbs, gutters, cotch basin, etc., damaged in the course of the permitted work. <br />Permissionis hereby granted to ihe work described hereon, according to the apprnved plans and specifications <br />pertaining hereto, subject fo compliance with the Ordinance of the City of Everett. Plumbing, wirirg, gas or sewer <br />installations are nol included in this permit. <br />. , <br />� _ ----�---------- --e�udme i�:ce�io.-- <br />i; <br />Pcrmit No'� t I��� / Issucd__ , 196__ By _ <br />.. _ �__ � <br />