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CITY OF �VL'RLTT --- Dr��nr���tin�r��� ��r ButtDirres �. <br />APPLICATION AND BUILDING PFRMIT <br />�- � �i %0 <br />a . � ; ' .. ��� Plan[ FIIN �� 1�T�. D - <br />y_---- __— —___— _ _" _ — _ _. _. _ _ — . ___— I Yes No 1\ [) � .. <br />Esl:meloE Cost Clav of Constrodion Fee rnia Ll�c of Permil <br />Application is hereby made for permit to do the following work;_ <br />�. � <br />0 <br />,. i i , <br />At - �- On Lot_ <br />(Numbcrl ISlrcell <br />of__ __ Addition, Lot <br />Building will <br />/ <br />�� � <br />� '" , Block _ <br />-�4, "" - <br />in height, in addition <br />to__ __ _ _ _basement. Occupancy will be_ _ _ <br />Numbcr <br />Building will bn feet from ncarest adjoining lot line. � <br />j 4% <br />Owner___ l�ddress_ <br />Conir�ctor � ` _' �ddress <br />Architect Owner <br />l�pplication made ---- --By---- .— <br />iits nnmo.�:�a nc�m.�— <br />The undersigned owner and; or agem in consideration of thc issuance of this permii personally agrces to insure <br />full compliance with ordinance No. 2513 of the City of Everett, Wash., and to replace and,%or repair sidewalks, <br />streets, wrbs, gutters, cntch basin, etc., damaged in the course of the permitted work. <br />Permission is hereby granted to the work described he�eon, according to the approved plans and specificntions <br />pertaining hercto, subject to compliance with �l�e Grdinance of ihe City ot Everett. Plumbing, wiring, gas or sev:er <br />installations are not included in this permiL � '�' '" -� � .. <br />� ) <br />Permit No._—_, Issued—_____, 196_ <br />� -- -- ---------- - ---- --- - <br />Builalnp In�peetor <br />� <br />� <br />