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<br /> SIGN PERMIT APPLICATION
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> EVERETT SUEMl'ITAL INSTRUCTIONS:Drop Pis hard copy paper application 4 plane to.3 2Oi)Cedar Street 2nd F€ :.l intake r°i p Eox.
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<br /> vv urn <.row CON TART'IN FOR MirkT'ION:(P £25-257-8810I(E):Pe�IrmitSor�.,ces r� k�t.rethes go f W! e rett wt.rcu�p writ
<br /> (LILT; or Stack Ink Only Please) PROJECT SITE INFOR1 TWWN
<br /> P1tt3 pr_ _SITE ADDRESS: PARCEL#:
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<br /> SUITEIUNIT#: ADDITIONAL LOCATION INFORMATION:
<br /> T'ENAN f IIBU+INESS NAME IrI tics rF sIde YiA) S s`I Ti q .....F ?1. ' I c» -: t ,
<br /> If CONTACT INIFORMATIIIPN
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<br /> OWNER MAILING ADDRESS: S;REEr
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<br /> OWNER PHONE: 1DWNER EMAIL:—7-
<br /> CONTRACTOR CONTACT NAME: z)E& r ."'),, N.,,I 9.�.(v'i E _. y
<br /> 1WA STATE CONTRACTOR LICENSE; 0kE1}U1ipED): irI''Y wIF EVERETT i SUSINE$S LICENSE-aI{Re s I . +0°' "
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<br /> PRIMARY CONTACT: I�OWNER r C)NIT RAC C R ElOT}iL _;P(Ptr: se SpscIiy)
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<br /> SIGN PERMIT IN t TION
<br /> VALLIA11 ON OF WORK $ /X .= [ PERMIT ERI IT#; +,7 ... c "
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<br /> DESCRIPTION OF` ORRkf:
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<br /> SIG DIMENSIONS:SIONS:
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<br /> SIGN TYPE;8 QUANTITY: a';' ,I oy.A. I r „. 1Wirte_ Qty., _.Cfe,rca C arrkrgrrr} Masse.rr rtr_,..
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<br /> Sent from my iPhone
<br /> 4of4 11/7/2022. 2:30 PM
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