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PERMIT APPLICATION <br />BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER I DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />EVERETT 320C CEDAR STREET, EVEIRETT, WA 98201 <br />WA SION ,TON T) 425-2!_)7-8810 1 FAX 425-257-8857 1 f,Fl evereiteps,peverettwigov i ciuv1permits <br />I(Blue or Black Ink only please) PROJECT SITE INFORMATION <br />#: C� <br />PROJECT SITE ADDRESS: PROPERTY TAX <br />LEGAL,',,r re,"kv c',onstruczion. Short —Lot No Cx)py of lorti lLgai des�t!plkor) <br />CONTACT INFORMATION <br />OWNER NAME' vc, C_ TENANT BUSINESS NAME (Commercial]: _\_ <br />4W OWNER MAILING ADDRESS: <br />C.Tv 2ic) <br />OWNER PHONE: 14-1 1OWNER EMAIL: <br />('A <br />CONTRACTOR NAME: <br />CONTRACTOR ADDRESS: <br />CITY <br />CONTRACTOR PHONE: 1CONTRACTOR EMAIL - <br />[CON RA R� PHONE: CITY <br />T CTO HO <br />CONTRACTOR LICENSE #;FREQUIRED): CITY OF EVERETT BUSINESS LICENSE #(REQUIRED)-. <br />PRIMARY CONTACT: 0 OWNER El CCN-TRACTOR 0 OTHER ,Please Specif ,) <br />CONTACT NAME. CONTACT PHONE: <br />CONTACT EMAIL: <br />BUILDING INFORMATION <br />Contract Price of Work: S <br />Proposed Use of Building: 13G,4s ®Electric tffother <br />BUILDING USE, DSFR OTownhruse 01uplex CIADU E]Mluifi-Fami!- # Units: OCommercial ;RAccicassory Structure <br />TyFe ,f Project CNew ©Audition ORerncdel Eiepair E7.iEsign 0Sprinkler vDemolibon ECh;rge of Use <br />DESCRIPTION OF WORK., <br />welt qJt'- L. v' '.bc 0 q -t- or'i C CA C--"- - CT k <br />JASSOCIATCD BUILDING PERMIT # OfapphrAble)- <br />I MECHANICAL PERMIT APPLICATION PI 1I1M9111Jf-_ ==0PA1'r PLUX21 or-Arvd%wv <br />