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Wl oy-- O®e <br /> APPLICATION for <br /> PUBLIC WORKS PERMIT <br /> F(/ 'ETT PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everett, WA 98201 (425) 257-8810 <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> Date: 4/21/2015 <br /> Bldg Permit#: CW1504-002 <br /> Owner: Mailing Address: Phone: <br /> SCHECK NATHANIEL 2502 CLEVELAND AVE 4252817367 <br /> EVERETT, WA, 98201 <br /> Contact: Contact E-Mail Address: Contact Phone: <br /> [ContactName] [ContactEmail] [ContactPhone] <br /> Description of Work: BUILD NEW DETACHED GARAGE <br /> Site Address: 2502 CLEVELAND AVE <br /> Legal Description: <br /> Comments from Reviewer: <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 />