Laserfiche WebLink
I PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING /SIGN/SPRINKLER/ DEMOLITION.+f CITY OF EVERETT PERMIT SERVICES <br /> viM r 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: (a q 1,-7- 6 <br /> _ J)4/�7,� C.1) / !E;U,gref"I(JA�gzoy PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION yyQelaa-o.'s <br /> OWNER NAME: c Iowa arz,a, TENANT NAME(If Commercial): MI)vi 6-02. <br /> 1-‘ <br /> MAILING ADDRESS: STREET J <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: ,v. <br /> CONTRACTOR NAME: Pa Lq/ auti Akt. kc,,,,n j('r„ <br /> CONTRACTOR ADDRESS: STREET t(10( i sk f 24,V eiy‘v,,ot g C Ud 13 0 q(y <br /> CITY %LrT l� STATE `J, ZIP I' I I <br /> CONTRACTOR PHONE: L{25-, C(G 1 52 Z"7 CONTRACTOR EMAIL: 9 0 i i.T( 4J'I P-Cii <br />