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PERMIT APPLICATION <br /> BUILDING /MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> Ojerr 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: p 1t OCA1D l..�Cl- t <br /> d((ak PROPERTY TAX#v 4�j SI,;40S0p 600 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Lk0t- ��\a eir•C"\-�� TENANT NAME(If Commercial): <br /> OWNER MAILING ADDR [EJS: STREET 18 it 6.)c,` }j_,c St- E 'j ec-€ � D .lam! <br /> CITY 1.10 Px4P 1 STATE Li e �_ZIIPM <br /> OWNER PHONE: L,C3,511)–' L% l OWNER EMAIL: 1� b�Lc r Pc.�•,,,,fl 1c�J,to AN <br /> CONTRACTOR NAME: Whi, V <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: <br /> CONTACT EMAIL: <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Contract Price of Work:$ :; <br />