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2111 ROSS AVE 2016-11-10
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2111 ROSS AVE 2016-11-10
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Last modified
1/13/2017 5:17:30 AM
Creation date
11/7/2016 2:22:41 PM
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Template:
Address Document
Street Name
ROSS AVE
Street Number
2111
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APPLICATION for <br />PUBLIC W�RKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 (425) 257-8810 <br />Owner Name: C� �j �'�r �. �i �'� <br />Mailing address: <br />Phone number: <br />1��� ��, LL� <br />�Z/L �� � <br />/ C �,,,� �; �f t o�n5 . <br />Date <br />�(i/( C��_."r ( (�'ri� 7r � �r fif7�`1 <br />Applicants Name: iKr�. << ; f�,��s <br />� <br />Mailing address: �7 S � /lJ�� ;•,�,., � , ���,, D; • <br />`�' '�t-/i?� <br />� 2,-�;; ff C� c� l-�� c <br />Phone number: �-� S— S$% —_; iCC� ' <br />Description of Work: ��� �� ��s � %���,� !�� /�c.�6G�ri�Z;��✓ �tSj�Lt4 � f- O� <br />— e;%Y�S�ih �Cr�� Y'v�c�c.��c.� �j <br />Site Address: � ��� -, /2��Ss � �c , <br />Comments from Inspector during initial inspection: <br />C� �� ��� �r�,s, �� �S'� �-� - <br />� <br />Approved for Issuance by: Date <br />
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