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Owner: <br />NEW PARK LLC <br />Contact: <br />[ContactName] <br />Description of Work: <br />Site Address: <br />Legal Description: <br />Comments from Reviewer: <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 />Bldg Permit # <br />Mailing Address: <br />PO BOX 2479 <br />EVERETT, WA, 98203 <br />Contact E-Mail Address: <br />4/7/2015 <br />B1504-006 <br />Phone: <br />Contact Phone: <br />[ContactEmail] �/ [ContactPhone] <br />1�� `1 � � � `i(�U <br />�-�� �� � 1 <br />TI-SUNRISE SERVI ES � �� � <br />�� ��5��1 <br />_ �� �, � <br />� <br />1718 BROADWAY � <br />, ' , ,, � � -�-� <br />1 �� � �` <br />, <br />,v��� �I�� �� <br />�� � ,� - � �� � ��`� <br />G'I, C�`��� <br />UTILITY INFORMATION <br />��V" <br />� � <br />1 <br />Meter Only ❑ Complete Service ❑ Install per building or per unit? (circle one) <br />Size of water meter <br />� �1.� � <br />> <br />City of Everett Sewer: yes or no (circle one) `\n r_ / <br />'l � �t <br />Approved for Issuance by: �� v <br />� <br />�"_ �,-� <br />Date: <br />� <br />� <br />