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C1TY OF EVERETT --- DEPARTML-NT OF BUILDIIVGS �
<br /> � APPLICATION AND BUILDING PERMIT
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<br /> class o+ constmctlon ree Pa�a
<br /> E:Ilma�eE Cost __ _ -- --- —
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<br /> App�ication is hereby made for permit to do the following work:__ -
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<br /> J �Y � /. ,�-» ��_ "� i," _ �On Lot�j . � —� -
<br /> At --__ - 7is/en _ _._____
<br /> � /c�°in°"� � r ' -, , . Additiori, Loi is_- -- X---
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<br /> ���,r-- stories in height, in additien,
<br /> Plus. ._ -- - ---- � and .-.
<br /> Buildingwillbe_.'__ --X- -- -- -� � _
<br /> to -_ - -- -- basemeni Occupancy will be- __ -- � - ---� � �
<br /> Num�er
<br /> Building will be____- ---- --- - - fee; from nearest adjoining lot line.
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<br /> `_ �� . . ;,/ � .. f- ` Address.. - ._ - _ .
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<br /> Owner. - =---� / — - - - - - - --__ '
<br /> �- �i�, < <_ / _ -Address --- -- - --
<br /> Contractor-.----- _- ----- -
<br /> Owner- _ -
<br /> Architect- ---- -- .,� � - ' - � / - - ---- -
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<br /> � � `___QY__--------" Hls AutnarizeE A9ent.
<br /> qpplication made__. �-..--���-�- - --- '
<br /> �----
<br /> The undersigned owner and'or agent in consideration of ihe issuance of this permit personally agrees to insure�,
<br /> full compliance with orEinance No. 2513 of the City of Everett, Wosh., and to replace andior repair sidewalks,'
<br /> roved lans and.spe�cations
<br /> streets, curbs, gutters, ca�ch basin, etc., damaged in the course of the pennitted work. � � or sewer
<br /> Permission is hereby granted ro the work described hereon, accordinof E ehettPPPI1',�,Ing, . u�9r,lJ �
<br /> pertaining hereto, subject to compliante with the Ordinance of ihe Cjty- ' 7��-/� ,.J/, ,
<br /> installations are noi induded in this permit. � //_ .�` ��� , / _ , .
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<br /> �/ / 9 :7 3 v � , 196`�_ By_ --
<br /> Permit �d.-_. _ _, Issued-. � -- - .
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<br /> Remar�--------- � f /%
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