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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 />Owner: Mailing Address: <br />JONES JEREMY D/JONES NICHOLAS <br />LYNNWOOD, WA, 98037 <br />Contact: Contact E-Mail Address: <br />JONES JEREMY D/JONES NICHOLAS <br />Description of Work: <br />Site Address: <br />Legal Description: <br />Comments from Reviewer: <br />Date: <br />Bldg Permit #: <br />8/11 /2015 <br />BW1508-003 <br />Phone: <br />3633 167TH PL SW <br />Contact Phone: <br />CONVERT GARAGE TO UNINHABITABLE STORAGE <br />2519 BAKER AVE <br />(� 4i��m'� � <br />� � <br />2a�' s� pa��'� � <br />� <br />�Qww �S�a —�� <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 />