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APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 -FAX 425-257-8857 " - ;L 3-03 <br />SITE ADDRESS <br />PARCEL TAX I.D. # <br />P MIT # <br />% % Zzl (4) • <br />�' ZC 0 fr i 4cn0 3 0 /30-1 <br />3o 0 <br />LEGA LOT NO. <br />BLOCK <br />TRACT <br />DESC. <br />OWNER � ADDP_SS ZIP PHONE <br />�/l-/�%fl/•.I�/J /'�.C�, l3l�L �j�C'S I7a.LL�'LC(`. �t��`I �f <br />TENANT NAME <br />CON CT FOR PERMIT PHONE <br />ct%,- /�r.10 / �zS• 4- S- 0 7 3 Z <br />CONTRACTOR ADDRESS ZIP CONTR. LICENSE Y <br />-�'t'1 ��'y <br />�=7(. �=Ut:•U lLr7 Ai !•r-!J(�'J ` tvf'/.'�.=.n <br />CC�r ��OR,��f'�L�(�J��%%7 <br />'/ <br />PHONE 7qq/f'' St •L-mil lt <br />PROPOSED USE OF BUILDING <br />Building Mechanical <br />Addition <br />HEAT SOURCE <br />PERMIT <br />TYPE <br />� Combination ILKJti Plumbing <br />Demolition Sign <br />WORK <br />TYPE <br />� Alteration <br />New <br />D Electric <br />Gas <br />Sprinkler <br />RepairlMaint. <br />Other <br />CONTRACT PRICE OF WORK <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION <br />Z <br />PERMIT <br />/?,JAJ <br />D/i/�Gl � /1 C'`-D/�•��T/✓fir S�tS /�E�rJE/� /—CSC 77- <br />