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CITY OF EVERETT --- Drr-nRTr�F�T or :itr;t.piNcs <br /> APPLICATION AND BUILDING PERMIT <br /> � I I b'______ I Plam FIIeO NQ. B 1 (.i v n� <br /> �t11me1M [osl I Class al [onslrucllon II Fro PaIE II �I/e ol Permll II Yes No II �� <br /> Application is hcreby made for permit to do the following work: <br /> �' — <br /> At---._ - On Lot_ <br /> �N�mee.� �si��n , Bloek <br /> of_ _ Addition, Lot is_ <br /> Building will be___x Plus _and stories in height, in addition <br /> �o -__ basement. Occupancy will be_ <br /> NemOer <br /> Building will be ._feet trom nearest adjoining lot line. <br /> Owner Address_ <br /> Contractor ' Address <br /> Architect _ Uwner � <br /> Applicatiom m�de_ gy_ _ _ <br /> Nis Authorlictl A9en1. <br /> The undersigned owner and/or agent in considerotion of the issuance of this permit personally agrees to insure <br /> full compliance with ordinonce 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 /> perlaining hereto, subject ro compliance with the Ordinonce of the City of Everett. Plumbing, wiring, gas or sewer <br /> installations are not included in this permit. <br /> Bu1lGlnp Inspectar <br /> Permit No.__, Issued,_ , 196_ By <br /> Remarks <br />