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C.ITY OF EVERI�T i-- DEPARTMENT OF BUILDINGS <br />APPLICAi7UN AND BUILDING PERMIT <br />V � Fe�irm / ..__y—• <br />. . . _ ..........."'"............ <br />ted C�st <br />ry;"' F°�II B N" 11665 <br />Application is hcrcby made for �crmit to do thc follnwing work:.. .....__.___.. .__..___._...... _._........ <br />. .. _ _..._.. ___. _ _. . .. _... . ... . _. ... <br />. ... . . .__.._... . .._ ...__..._...._......_....._..._ ...................... <br />, <br />; � , , . <br />, . ; : <br />, � <br />. .. . ...._.. _.._............ _ _....._ _............�..�:::_.,_! ....:.................. _.,...._.,z...... .......................,:_...................._...t..,....._........ <br />.._._.........._............_ ...........................................�,.�:.._ .. <br />__....._. _..__ ................._.........................._...................................................._._... <br />-' �.� � � , .___..._._....., on Lot . . .............. Block . ......_..... <br />Ai � 1. �._._ ... . .........:. . .. ....._ ...__;,..:..... a. � _....... .... <br />(Num&r) (Slma�)..... . ... <br />o( ..__.._.......... . ._...._.._ ............ .__ ._.. . ___.. . Addition, Lot is _..__....._ . ............_. a....... ... . ..... _ ....._...... <br />[3uilding will bc... ... _. .._.. _.x... .. _ ....._.and .._._._ ..___.. .__.._........__._...s[orics in hcighq in addition <br />to. . . .. . .._.. . ...bascmcnL Occupancy �rill bc . _.__... . ..__._ .... .............__ ...._...__ . ........._.__. __....... ._......_. . <br />rv,���b�. <br />Cuiiding �vill bc . . _ _ _. ___ __ _.... _.... . fcct (rom nc:�rest adjoining lot linc. <br />O�mcr . . __ .. .. . ::.. - . .:...: _.:. ...,.. _......... .._ _ _...........Address ._... ... _._._. ..__.._. .._....._.... _._.. ...._. <br />Cuntraclor__. _. . <�....5.. ..... . �� . , .....: . .� . .... : ........ Addrcss _ _. . . ...._.... .. ._ ....... . .. ......._ _ . ...._......._........... <br />ArChitcci. . _. ._ ._ ... _. .. ..__ �....... . ..__...__....__.Owncr.. .._. ......._ . ......__.___ . . ............ _ .. .__.... ....... ... <br />Applicationmadc _......_._..._........ _.,...._._ .C_C...:,.. y ......._.. _.___:_. ._ :.......... ..... ...... _... <br />. ll . ... u � �i .,��i ne����. <br />Thc undcrsignc�l� oH�ncr .md/or agcnt in considcr:uior. o( thc issuance ot ihis permit personally agrccs tu insurc (ull complinnce <br />with ordinanec No.���2513 of thc City of livcrctl, �Vash. nnd to repinec �.md/or iCr:ll[ 51(ICN'.1II:5� sVccts, curbs, gultcrs� ca[ch basin, <br />etc. damoGcd in lhc coursc o[ lUc pr.nnittcd wodc. <br />Pcrmiasion is licrcby qranlcd to thc tcork dcscribcd hcrcon, acmrdi: p to iLc approvcd plans and spcci(ica[ions pertaining hcrctq <br />subjert to mmpiiance with Ihe Ordintmce o[ tLe City o( Iivrrett � <br />.__..._..... _.... .. <br />Pcnm[ Nq�.�-��(_.��.. � Issucd . _.;,...a�_..j�.;.- � 195,. .....i..,;;.p._l.�. <br />Rcmarks.___ ._..._.._ ._.�,.. _..�.. .. _ _. __....._.. _..._��...._._.._. <br />�iY'�:.i.'v, 6 <br />� <br />............................. .. <br />� <br />Guitdinyt Im�uc���r ' • <br />