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PERMIT APPLICATION <br /> BALDING/MECHANICAL I PLUMBING I SIGN/SPRINKLER! DEPAOLIIION <br /> CITY OF EVERETTREFWIT� Eitvf1Ci ZS <br /> 3200 <br /> CEDAR STREET,'EXIERETT WA_0tl1 <br /> (P)425.2E7.8810 I FAX 4Z,5-2q748,57° 1(E)ev ettepp e rettwa.gov j Nxeverettwa.govfpertnits <br /> illiklige or Blest,Ink Only Ilesage) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: ' " - >$ �P R+�PI=RTY TAX :. � <br /> 'LEGAL for new construction.: Short Platlsubdivision Lot:ht i, (attach copy of tong;Iegai description) <br /> CONTACT INFORMAT <br /> OWNER NAME: ' t 1, TENANT NAME(If Commmercjal);.: <br /> OWNER MAILING ADD4,1 <br /> g rill : . <br /> Ar .vpi <br /> � 10 0 <br /> OWNER PHON .. r14 1 OWNER EMAIL;. <br /> CONTRACTOR NAME: ! ,k . .. <br /> CONTRACTOR ADDRESS; els: 0 ' <br /> .- t �' 'S'A y ' <br /> CONTRACTOR PHONE: I w CONTRACTOR EMAIL: ' f+r' � • . <br /> CONTRACTOR LICENSE#{REQUt�}: +s►. 4 t0+•K ` > CITX;OFERETF BUSINESS LIGIt► -#{REGdIRE3} a1 <br /> PRIMARY CONTACT: Cf OWNER E' CONTRACTOR 0 OTHER(Please Specify) <br /> CCNTAC NAME CONTACT PHON . e , <br /> Rte' if.14. <br /> CONTACT EMILfi+ e zt� . . viii <br /> R ILDING PERMIT APPLICATION <br /> Existing Use:of Building: ` '. 46, r4 Contract Price of Werk. <br /> Proposed Use of'Stii g: Heat Source: Leas �lectric C10ther <br /> Building Type; -Detached C1SFR-Attar ted ODuplex Clit uiti-Farnlly-#ofUtits: <br />