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CITY OF EVERETT --- DEPARTMENT OF BUILDINGS <br />APPLICATION AND BUILDING PERMIT <br />- p (� 1 n <br />$-_� V G Q __ _ —_.,. $-,_' —.. _ _ __ _ I Plank FiIM�Oa U V .l. T <br />2.11matotl Cast Clu,. of Comtruclion Fee Paitl I — Lfe of PermN 1 Yea No <br />Application is hereby mode for permit to do the following work ____._.__ <br />l <br />Lot �` <br />AL ----::-On <br />_, Bloch..._.___._ <br />(Number) .-, , <br />(Strum <br />d <br />of.__.Z `-•' <br />Addition, Lot is— <br />Building will be x <br />Plus <br />and..`_ P.stories in height, in addition <br />to___-_ _ -.____._-basement. <br />Occupancy will be <br />.___.. <br />Number <br />Building will be__— <br />feet from nearest adjoining lot lire. <br />a.. F <br />_e>_�. <br />�..Address____r�_ <br />Owner <br />; .c .a- �x_� �r.a <br />Contractor _-_address <br />Architect Owner Orr ram+, lIO &CA9 <br />,04­ <br />,_- <br />Application made_ T <br />r His Avmorlrae Aeem. <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 />installations are not included in this permit. y <br />Permit Na.- _.___--, Issued_. 196_ _ BY---- /7/ <br />Remarks__. <br />