2807 21ST ST 2017-03-09 - Laserfiche WebLink

ERMIT APPLICATIO BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org SITE ADDRESS: PROPERTY TAX# P RA(II #O� i 2 0 7 - Z(Si- :�, VA I LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) OWNER g� i -,W r Phone/E-mail(zs 3i 376 .cag---2) Address 7.flr1 •-21 ST c4 City/State/Zip eV tal , q+g- APPLICANT: Owner _Owner's Agent Contractor Contractor's Agent Tenant(must provide a letter of consent from the owner to do work in the space) CONTRACTOR [ yv 1.4 --14-c-L Ai!, State Lic.#1 i2SO27_CT City Bus. Lic.#a;