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APPLICATION for T,„ \ <-() <br /> # w--4PUBLIC WORKS PERMIT <br /> w44,,,,rilETT <br /> , <br /> PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everett, WA 98201 (425) 257-8810 <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> Date: 3/4/2015 <br /> Bldg Permit#: C1503-002 <br /> Owner: Mailing Address: Phone: <br /> RIVERROCK PARTNERSHIP 12730 68TH ST NE <br /> LAKE STEVENS, WA, 98258 <br /> Contact: Contact E-Mail Address: Contact Phone: <br /> WHEAT MIKE 206730244�J <br /> Description of Work: NEW SINGLE FAMILYyvoiridg- <br /> C1 U ' "_ <br /> --.) - <br /> l AOTC c \, ,,,,,A ry ` <br /> ,„.kwii <br /> Site Address: 10232 1ST DR SE 4," ' <br /> - lyei, Z+ rv�}-1 <br /> �Legal Description: pa <br /> Comments from Reviewer: S - c, - - 'm( 13 D - 0 jam,. <br /> UTILITY (INFORMATION <br /> - Service-C-Irjstalf le opt <br /> (`7'{-.01I----- Size of water meter1_1 (,!/6s 131 f- itecl <br /> d'i ? I ` <br /> City of Everett Sewer: or no (circle one) 0eede IM(;f) '-to <br /> A G-f1'v if fe- (Seg i <br /> Approved for Issuance by. r 1 / it/(e Date: 2W ('S <br />