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41111.1110* PERMIT APPLICATIdt <br /> BUILDING/MECHANICAL/PLUMBING I SIGN l SPRINKLER/DEMOLITION <br /> ' CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 L(E)e#t <br /> glue�1 k t k tllxtl P( 71; tft�ta. I www everettwa goo/permits <br /> F'RO 1'ECT SITE ADDRESS; 10'` <br /> rtblEft TAX#: <br /> t EGAL for new construction; Short,PlibtttVa #n <br /> tot-Nltor•' �t(attach copy of long legal description) <br /> a w�at1y <br /> OWNER NAME: <br /> e TENANT NAME ifCa t <br /> OWNER MAILING ADDRESS: SrREET t / ' - <br /> CITY �s i IQ STATE ra -- <br /> OWNER PHONE: " 'P s . . zlP, s t <br /> • A <br /> CONTRACTORNAME; , <br /> OWNER EMAIL: <br /> . fib!• ', ': <br />