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� <br />� <br />APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />32�0 Cedar Street <br />Everett, WA 98201 (425) 257-8810 <br />PUBLIC WORKS PERMIT REQUIRED? <br />Owner: Mailing Address: <br />CANYON CREEK CHURCH OF ASSEMBL <br />BOTHELL, WA, 98012 <br />Contact: Contact E-Mail Address: <br />LEE KIRK ARCHITECTURE LEE@LEE-KIRK.COM <br />Description of Work: <br />Site Address: <br />Legal Description: <br />Date: <br />Bldg Permit # <br />7/31/2014 <br />BW1407-006 <br />Phone: <br />4412 147TH PL SE <br />Contact Phone: <br />TI FOR WORK DONE W/O PERMITS-CANYON CREEK CHURCH <br />1122 75TH ST SW <br />Comments from Inspector during initial inspection: <br />Approved for Issuance by: <br />�( � 5 r� �O� �� <br />� <br />Date: <br />