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� <br />� <br />APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 (425) 257-8810 <br />PUBLIC WORKS PERMIT REQUIRED? <br />Date: <br />Bldg Permit #: <br />Owner: <br />PROV/GEN MEDICAL CENTER <br />Contact: <br />Mailing Address: <br />POBOX1147 <br />EVERETT, WA, 98206 <br />Contact E-Mail Address: <br />DEVIN SAYLOR BOTESCH NASH HALL <br />DEVIN@BNHARCH.COM <br />5/21/2014 <br />B1405-036 <br />Phone: <br />Contact Phone: <br />4252590868 <br />Description of Work: PRMC-CHILDRENS CENTER AUTISM D����� n� <br />v � <br />MAY 2 1 2014 <br />Site Address: 900 PACIFIC AVE .......................................... <br />CITY OF EVERETT <br />Legal Description: Public Works - Permitting <br />Comments from Inspector during initial inspection: <br />/(J � L <br />( I <br />�� � � <br />� � <br />/' <br />� <br />Approved for Issuance by: Date: <br />