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-_-�. __ _ <br /> CITY OF EVERETT -- DEPARTMENT OF BUILDINGS <br /> a <br /> APPLICAiION AND BUILDING PERMIT <br /> 8 `' � � � ..... _._ }„�. eava � <br /> r <br /> .......................... ..........._.�......_. ..... ...... .. .� _. _ . ... ... ��, . �, 114 01 <br /> F.stimatrJ Gnt Clm� f Comtmation Fee Pa'd Life nf Permi� <br /> N`� <br /> - ApPlication is LercLy madc (or permit to do the (nllowing work:. .__ ._ ... .._....... .._ _. .. ........... ...__....._. ........... .... ..... . <br /> . . . . . . . _.. . . ._ �..'_...__� r....:::. . �:.-. .... .._.....:.�.:.�......._......_._.. .... <br /> . .. .. .. . .. . . . . . . . . . . . _. .._ ........_......................... ..... .........."'"._........................................_...__. <br /> _ . .... .__. . _. . _...._ _ . _ . . . ._ .. ._ ._ . _ . . ............. . ...... ...... .......... ... . .. .... . ... ........... ... <br /> At ! r.: .. . . .__..__.., on L.ot...........__..__..� Blotk. ......._.. <br /> . _._ _._ ..._._ _.... ._._. . ._ _..._ ..._.._.... _ .. . . ... ._ . . <br /> �Numlxr) (S�.cn) <br /> of .. ._......_... . .......... ....._.___. _ . _ ... . _._. Addilioil, I.O[ IS_ ._ _ _...... ... .... .. x _..._.. ... . _ ........__._ .. <br /> Building will be._. . .._ ___ . .._ . .x .. . .. . _ _ and.. . _. .. .........._.storics in hcight, in addition <br /> _.._ . ._. _... <br /> to. . _ ..._. .basemcnt Occupancy will bc.. . . __._..._... .. . ......... ._ .... . . .. . . ._. . . ... . ._. . _ __. ... .. .. <br /> v����i��� <br /> Building wili bc . . . .... ._ .. . fcct from ncarest adjoining lot lim�. <br /> Owner. ...�. .._ .. ._. . . . . . . . � . . .._Addrcss... __. <br /> � . ._.. _ . _.... .. .. . ..... . . _. . . . _. _ . . .___ .__ . <br /> Gontracmr . . ._. ._. _. .. ..:.._. -�.._..........,, .. .._. _....... ......Address ......_. _ . . <br /> _.. ....._ _.._._ ... _.. ...... . _._ ........ _....._......._ .. <br /> Architcr,t _ .. . . . . . . _. . . .. . ......_.._. ... _. .............. ..._....__O�mer..�.'.,..�.��._.. .. ... . �. ' .. .._. _ <br /> ' �� .... . ..� .....:'� .`.�... . . <br /> Applicalion madc . . . :�_. . ___ . . .. ..__. . . .._._. By . _... . _ .....__. .. . _ . _ ._.... .. ........._... . __ .. .. <br /> ... ... ..._. <br /> Itie AmLori:rd Acr�rc. <br /> "�hc undcrsigncd o�rncr :ind/or ��gcut in cousidcr:rtion o( dic issuancc of diis permit personally agrccs ro insurc full compliancc <br /> �cith ordinancc Na :513 of thc City of I:vcrctt, 15'ash. :md to rcplacc .md/or rcpair Si(IC\c.lII:S� strects, curbs, guttcrs, catch 6asin, <br /> rtr. d'amagcd �n thc coursc oI dic pcnni[[cd work. <br /> Ycrmissictt is hcrcUy qrantcd ro d�r ���ork dcscribcd hcrcon, acrording to tLc :ipprovcd plsns and spccifications per[aining hcrcto, <br /> �,cLjcr[ to compli�ncc ���iU� Ihc Ordinancc of [hc City of Gvr.rc(t. <br /> p` <br /> .:�.�.� . .. :i�....�... . .._�_.._�. .�. .....:.:....:' _....__... ,_,>..;._.- ....__. <br /> � � ' ......_ � � , � ' -- <br /> Pcnnit No. ___. . .. . , Issucd . _ .. _ .. . ._. , 195_ _. ._. _ � ...:....r._�........ . :.. .. _ .....:. ..... ... ................. <br /> 6uildine In.peemr <br /> RcmarLs .. . . . . . . . <br /> �.L'c--�t.,6 <br /> I <br />� <br /> s - <br />