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Published: July 2023 Change Owner: Original Owner: Name: Mailing Address: City: Zip: Email address: New Owner: Name: Mailing Address: City: Zip: Email address: Signature of Property Owner or Authorized Agent — REQUIRED for all transfers including Change of Contractor I hereby certify that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for this change to the original permit. With my signature I take full responsibility for all work that has been performed or is yet to be performed under this permit. Print Name: Signature: Date: Transfer Permit Change Owner or Contractor redmond.gov/BuildingPermits Permit Number: Project Name: Project Address: Change Contractor: Original Contractor: Name: Mailing Address: City: Zip: Email address: UBI: New Contractor: Name: Mailing Address: City: Zip: Email address: UBI: Signature of New Contractor I hereby certify that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for this change to the original permit. With my signature I take full responsibility for all work yet to be performed under this permit as of the date on this transfer form. Print Name: Signature: Date: Contractors must obtain a City of Redmond Business License prior to working in the City. WA State DOR SIGN SIGN