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CITY OF l�ArLl:l�"CT -- D��.��nRTn-iFNT �r- Buri.�rNcs �/ <br />ApPLICA710N AND BUILDING PERM17 <br />•J'.. ' —" �.�1__•"_— LilcoiF <br />��--L-"�' Class ol Consimcllon— I Fee Pol�— <br />C..+�..natM Cosl ____ — — <br />Application is hereby made for permit to do the following work: <br />_� <br />; f On Lot � ' <br />l�t�—=__ � tso-emi <br />�ryoni°"� _ _ ___ Addition, Lot is— <br />of - and <br />Building wili be_— � Plus------- <br />to-----_ --- <br />basement. Occupancy will be-- - <br />Num�e� <br />Building will be— feet from nearest adjoining bf inc. <br />_�lddress_-- <br />pwner._ <br />�- Address_ <br />Contractor_— <br />riam Fuce II, 1\n. R �- �' "� `� i�1 <br />Yes No � <br />Blocl� <br />_srories in height, in oddition <br />Archited .i �. -__ _ <br />- � BY---- �--=--'------ � ni: numo�ir�e nv�o�. <br />/�pplication made— =------- �— <br />The undersigned owner andjor agent in consideration of the issuance of Ihis pem�it peisonally agrees to insu•�. <br />strcet�s,nPul bs,egutte ordcn�'cheb�Non2e1 3 o�fan a9 aY,�f�hVe�o1urs ofSNie pe mitted wo k°ndior repair sidewalks, <br />Permission is hereby granted rothe work described hereon, according to the approved plans ond specifications <br />pertaining herero, subject to compliane �Itth the Ordinance of the City of Everett. Plumbing, wirin9, gas or sewer <br />installations arc not included in this p . _ _ ___ ._ <br />----------- e�na;�ro m.x��o� <br />Permit No:----, Issued__---- -- � <br />196- <br />Vr V <br />