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�� d' �i �('�G S � � <br />����� <br />� <br />� <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 />Owner: Mailing Address: <br />BOYCE RAYMOND & MICHELLE 11607 7TH PL SE <br />LYNNWOOD, WA, 98036 <br />Contact: Contact E-Mail Address: <br />[ContactName] [ContactEmail] <br />Description of Work: <br />Site Address: <br />Legal Description: <br />Comments from Reviewer: <br />Date: <br />Bldg Permit # <br />REMOVE & REPLACE SKIRTING <br />2510 E GRAND AVE <br />1 /20/2015 <br />B1501-011 <br />Phone: <br />2067189910 <br />Contact Phone: <br />[ContactPhone] <br />� ����.U� E <br />FEB 0 2 2015 <br />D <br />.......................................... <br />CITY OF EVERETT <br />Public Works - Permitting <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 />