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47-1- • PERMIT APPLICATIO• <br /> BUILDING / MECHANICAL / PLUMBING / SIGN / 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 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: l id/ r ' Orberr�1►L PR•P RTY TAX#: ' f0c1 gc o3Ogl 00 <br /> LEGAL for new construction. Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: -01110( n is Q TENANT NAME(If Commercial): r/C1/S 04111i4(� 1 <br /> OWNER MAILING ADDRESS: STREET 1, 0,��y`jt�5/ //�� X9(66 � J 5 yA <br /> CITY 1A)O• `•fi"� STATE WI•� ZIP ✓5 D <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME l,/10/✓/IL 5101 cc/lrpol91rr/ P <br /> CONTRACTOR ADDRESS: STREET 1'55./'kJ�jln'/)i� �1 /l/I. Q <br /> CITY 5�9J!tic STATE I� ZIP f( Si 0 9 <br /> CONTRACTOR PHONE: 2e-b — 212—o7110 CONTRACTOR EMAIL: 91We4. ✓141/d49is!y�cif,-u .n, <br /> CONTRACTOR LICENSE#(REQUIRED):: onus(t//M/ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):t'i <br />