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Cost <br />CITY OF EVERETT --- DErnRT�Er1T oF BurLDirr �s <br />APPLICATION AND BUILDING PERMIT <br />$==— <br />Application is hereby made for permit to do the following <br />� r; ,'� <br />' '"(NUmbe[1._.�—._.�--- <br />of_ <br />Building wil! be___ <br />Imrceq <br />PIanS filed II l��O. D �i (I l' � <br />Ycs Na 1\ l7 -- � .i �) <br />On Lot ', Block ' <br />Addition, L.ot is _ _ <br />to_____ _ basement. Occupancy wiH be <br />N�mbrr -- <br />Building will be feet from nearest adjoining lot line. <br />% �� `�. ,,tn, <br />Owner---_- -- Address--- <br />Contractor � ���' � !�` ' `' � ____qddress <br />Architect Owner__ <br />Application made . ''�' � � Y pY <br />in height, in addition <br />The undersigned owner and%or agent in consideration ef fhe issuancc of ihis permit personally agrees to insure <br />full compliance with ordinance Ns. 2513 of the City of Everen, '�Nash., and to replace and!or repair sidewalks, <br />streets, curbs, gutters, catch basin, etc., damoged in the course of the permitted work. <br />Permission is hereby granted to the work de5cribed hereon, �:cording to the approved plans and specificotions <br />pertaining hereto, subject lo compliance wifh the Ordinance of the City of Everett Plumbing, wiring, gos or sewer <br />instaliotions are not included in this permit. , <br />� � � 9ulltling Inspeclor <br />Permit No. `, Issued �' , � 7[.= gy <br />