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CITY OF EVERETT --- DFPnRT�,tEt��T or BUILDINGS <br /> APPLICATION AND BUILDING PERMIT <br /> S (� \/�,' � Ciass ol [ansiruc�lon II $rFee PeIE� Llle o� Pttmil II yc't FINo II NO. B 12 6 3 6 <br /> E�tlmetN Cosl 1� <br /> Application is hereby made for permit to do the following work: <br /> , r�. - <br /> _ . tf .,'.� j� %� <br /> __ /, <br /> \ i r- — ' <br /> At - ` . / ' / � � ( � On Lot , Blocl� <br /> (NamDer� . �Strttll� <br /> af Addition, Lot is- Y __ <br /> Building will be___x Plus _and _storics in height, in addition <br /> to basement. Occupancy will be_ <br /> NumEe� <br /> _ Ruilding will be feet from nearest adjoining lot line. <br /> / f/i % <br /> Owner_ //'S�:% �-L c - , r• ' ` t qddress <br /> i' . /' ✓" <br /> Contractor __ ' r✓, � Address <br /> Architect _Owner �" • ✓ <br /> � <br /> A lication made— ' ' ' .' <br /> PP .--r�-�' =r---=--�-BY <br /> / —� —�- �--— -- Hls AVIM1orIxeC A9ent <br /> The undersigned owner 6ndior agent in considcration 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, wtch basin, etc., damaged in the course of the permitted work. � <br /> Permission is hereby granted to the work�cscribed hereon, according to the approved plans ond specifications'. <br /> pertaining hereto, subject to compliance with 'i�e Urdinance of the City of EveretL Plumbin9,-wirir�;=gos'or-sewer' <br /> installations are not included in this permit. <br /> — " <br /> ,��� . eullainV Imoecto� <br /> /�C..- � ( . _ <br /> Permit N/�.� ; Issued '� ` °�' _, 196— By <br /> �� <br /> Remarks � <br /> ` -- ---- <br />