CITY OF EVERETT --- Dana,Rr��rrrr or- BurLDiivcs �
<br />APFLICATION AND BUILDING PERMIT
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<br />ESHmeteC Cmt � Ciaas ol Canstructlon Fx PNU Llle of Permlt Yes No
<br />,�pplication is hereby made for permit ro do the following work: _____._____ __ ____ _ I
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<br />. - INumDery; (Sheetl
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<br />8uilding will be_ �.' � x '' '! _� Plus - __ �
<br />On LoY____:__
<br />._. Addition, Lot is_�
<br />to_____ _ �asement. ('Jccupancy will be____._______. __
<br />Num�er
<br />Buiiding wlll �e_��`� ' ` ~ �� `" "- �" ..fret from neasest adjoining loL lina.
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<br />Owner .._—_ ,r���..,__�qddress,___.______
<br />Contractor _� "' ` ' _ __�4ddress
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<br />_:_::sTories in haight, in additiv;��
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<br />.lrthitect_ Owner ____T. _ ._ _ _ i
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<br />.,pplication made—� 1_�_-------�--By�----------------- - - .� ,
<br />' Nla R�nRo.IZM Apem. '�
<br />The undersigned owner qnd�or agent in ccnsideration of ihe issuance of this permit personqlly agree.� ro insurt'
<br />full compliance with ordinance tdo. 2513 of the City of Everett, Wosh., and ro replace and/or �epair sidewalks,i
<br />streets, curbs, gutters, catch oasin, etc., damayed in the course of the permitted work.
<br />Permission is hereby gruntrd ro rhe work de;cribec' hereon, according to the approved plo�s and ,:pecificotion5�
<br />pertaining hereto, subject Yo comPliance with the fJrdir.anca of fht City of Eyerett, �!u�'virtg, wiri�g, gas or sewrn
<br />inst�llutions are nol: included in this pe.�nit, i
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<br />Permit No.----, lssued_ , 796— By----- ��'�
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