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Owner: <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 REQUIRE <br />Date: 3/12/2015 <br />4d6f Bldg Permit #: C1503-007 <br />Mailing Address: <br />A & V HOME IMPROVEMENTS LLC <br />EVERETT, WA, 98203 <br />Contact: Contact E -Mail Address: <br />[ContactName] [ContactEmail] <br />Description of Work: NEW SINGLE FAMILY DWELLING <br />Site Address: 9924 HOLLY DR <br />Legal Description: e v&-C7� wort_eT DV <br />Comments from Reviewer: <br />r4a2dS C-U''T-jb - CA On s+V\(P_f . <br />Phone: <br />506 46TH ST SE <br />Contact Phone: <br />[ContactPhone] <br />UTILITY INFORMATION <br />Meter Only ❑ Complete Service ❑ Install per building or per unit? (circle one) <br />Size of water meter <br />City of Everett Sewer: yes or no (circle one) <br />Approved for Issuance by: Date: <br />