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CIfY GF EVERETT <br />B U I L D I N G F L 0 T ? L A N <br />�[, %� -- <br />� �� <br />1� �' � <br />A,�dress �/�ti -,�� /��' Zone h.';. Lot Size x <br />�egal Description: Lot _Blo <br />Unplatted Descripti <br />la <br />Size of Buildin�x �� J Hei�ht in stories_ � <br />/. , <br />Basement %��✓' Occupancy �" = � � . -.=- <br />n _y, 1!� ( ) <br />' t:��., W'.. . <br />Uwner _�..Y. ,�' Contr-,ctor �., i.., '_;�r, L, , <br />Date _ <br />Permit No._.,��? 7� <br />Remark <br />Signature <br />(O�vner ) <br />