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CITY OF EV ERc- DEPARTMENT <br />EBUILDING EOF BUILDINGS <br />APPLICATION aPMI <br />Fee <br />Application is hereby made for permit to do the following <br />t, <br />_On Lot.. — <br />At )street) <br />(Number) L t <br />of <br />Building will <br />Plus — <br />Addition, o <br />to. --basement. Occupancy will be <br />Number <br />Building will be feet from nearest adjoining lot line. <br />rstfA�/L'e % iPE' Y`_Z Address <br />Owner _ <br />Address <br />Contractor <br />I' t' <br />Piana FijlC II No B 1 L. U 9 <br />Y0 No jI <br />Block_._ <br />in height, in addition <br />y HIS AUMorlsed Agent. <br />App ica an , <br />The undersigned owner and/or agent in consideration of the issuance of this permit personally agrees to insure <br />full compliance with ordinance No. 2513 of the City of Everett, Wash., and to replace and/or repair sidewalks, <br />streets, curbs, gutters, catch basin, etc... damaged in the course of the permitted work. <br />Permission is hereby granted to the work described hereon, according to the approved plans and specifications <br />nce with the Ordinance of the City of Everett. Plumbing, wiring, gas or sewer <br />pertaining hereto, subject to complia <br />installations are not included in this permit. <br />Permit No. , Issued_ , 196— <br />L <br />