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a- CITY OF EVERETT --- DEPARTMENT OF BUILDINGS V/ <br />APPLICATION AND BUILDING PERMIT <br />A 16 <br />Estimate OPlaCost II Class of Constrvdion II $ Fee Paid II Llre of Permit II sns FINo I No. B — 4 +G / <br />Application is hereby made for permit to do the following work: <br />On Lot Block <br />(Number) - . (street!/ ✓ t <br />of `_J J ,i �: �. y �.%- � Addition, Lot Is — x_--- — , <br />Buiiding will be__ _ _.—x___ Plus___ _ -and- ----stories in height, in addition <br />to_ _ _ __ _basement. Occupancy will be — <br />Number <br />Building will be_______ —.feet from nearest adjoining lot line. <br />Owner--­., <br />wner_ -Address_ <br />Contractor t=. _ Address <br />Architect__ <br />Application made <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 />instailations are not included in this permit. J <br />Bvlldin9 Inspector -. <br />Permit No_—_ Issued.: 196-__ By <br />- r.y <br />