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CIT'� OF EVERETT --- DEnARTr�Frr-r OF BUILDII�TGS <br />APPLICA710N AND BUILf'NG PERMIT <br />�. :�mn5 Fllc� N�. B �^ J 1 J <br />Cost [lass ol Consirucllon Fre Paltll —� Lilc ol Pcrmil II Y�s N� II '��� <br />Application is hereby made for permit to do the following <br />- � - <br />L[' . ( : ,.i r � <br />On Lot_ <br />of _ Addition, Lot is_ <br />Building will be—__x Plus ____ a�� <br />to basement. Occupancy will be __ <br />Number — <br />Building will be y� feet from nearest adjoining lot line. <br />Owner f't ' % -' Address <br />% ,'� �. <br />Contractor_�: � � ' ' - - ' ��� r� � � ' �qddress_ <br />_, Block <br />in height, in addition <br />l�pplication made_—'-' � _ ---gY------------_-- <br />ins numc.i:�a n9��i. <br />The undersigned owner andjor agent in consideration of the issuance of this permit personally agrees to insure <br />full compliance with ordinance IJo. 2513 of the Ciry of E�•erett, Wash., and to replace and/or repa;r sidewalks, <br />streets, curbs, gutters, catch basin, etc., damaged in thr. 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 uf Everett. . Plumbing; wirin�, gas or sewer <br />installations are not included in this permit. .- <br />/ — -- — � <br />j� ouilaina ��:pccmr <br />Permit No. ,� �` � , Issued" �,� " ___, 196_ By_ _ <br />Remarks_ <br />