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Owner Name: <br />Mailing Address: <br />Phone Number: <br />APPLICATI�N for <br />PUBi.TC WORKS PERMIi <br />PUBL.IC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 425 •- ?_57-8810 <br />Dennis Wagner <br />2221 Everett Ave, #203 <br />Everett, WA 98201 <br />(425) 257-2000 <br />Applicant Name: <br />Maifing Address: <br />Phone Nurr�ber; <br />Date 3/16/15 <br />Stratum Group <br />P.O. Box 2546 <br />Bellingham, WA 98227 <br />(360) 714-9409 <br />QeSCeiption Of Wotk: Install two ground water monitoring wells within the sidewalk at 2201 Everett Avenue. Wells <br />w► e us moun e wi s ee covers. is an icipa e a e we ins a a ion wi a e <br />approximately 6 hours to complete. <br />{A drawing or plans may be needed to illustrate work to be done) <br />Sife Adclress: 2201 Everett Avenue <br />Comrnents from Inspector during initial inspecfion: <br />. . <br />_ -; � ;- , <br />r .__ : r .., : � ' _ , <br />s ; , _ ; 1 � '' t-' � t �' � � ��: .z i �� ��' �� - <br />` L1 �- ' y <br />a 4 �• S E__� '�r; 4_�_- a <br />'�3����z dpe�_��� <br />��4 ;�i � . ;;;:i � �L�v�i'J �.......a`" '� <br />�;' � 1 a �.�,-,<< • ,_ <br />� ' � <br />'dF '_, i..�..,wr �:., � r� � <br />, <br />� y � _'.. - � — - <br />i �'����� t <br />Appravec! for issuance by: Date: <br />