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CITY OF EVERETT --- DEPARTMENT or BUILDINGS <br />APPLICATION AND BUILDING PERMIT <br />$. ' "o y I Pbns Filed II No. B 1 4216 <br />Estimated Cost [less or construction Fee Pald Llle of Permit Yet No <br />Application is hereby made for permit to do the following work: <br />t�L..�'�t..a_,_�.. Jtit-�.._���..c..rs� ., ,. ;_i'(c.. (L�%.tt�-y 4=_•••-y.-,�. <br />At �d I <br />I <br />On Lot tf Block <br />'N��t'"} ` r <br />* <br />,; C�t.�C'� <br />(street) <br />r <br />j CR. <br />Addition, Lot is x <br />of <br />Building will be <br />> <br />Plus <br />and stories in height, in addition <br />to _—basement. <br />Occupancy will be <br />Numbnr <br />Building will be <br />feet from nearest <br />adjoining lot line. <br />Owner = l <br />�k <br />Address <br />r•,.....,.,.e,.. '::1•'._� .. <br />� <br />_Address <br />Architect Owner Application made- Ni. Authorized Accrd <br />The undersigned owner and/or agent in consideration 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, catch basin, etc., damaged in the course of the permitted work. <br />Permission is hereby granted to the work described hereon, according to the approved plans and specifications <br />pertaining hereto, subject to compliance with the Ordinance of the City of Everett. Plumbing, wiring, gas or sewer <br />installations are not included in this permit. <br />Permit No:_. - Issued__— _.-_. _.__._ 196_ <br />Remarks--_ -- <br />By <br />eo0dirq InsPKtor <br />