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l � <br /> APPLICATION for <br /> PUBLIC WORKS PERMIT I <br /> PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everett,WA 9E201 (425)257•SBtO <br /> Date 05/21/2001 <br /> PW Permit No. PW0105-031 I <br /> BLDG Permit No. C0105-020 <br /> Owner: Mailing Address: Phone: I <br /> GRANVILLE HOMES INC 3711 122ND PL SE, EVERETT,WA,98208 4253579078 <br /> Appl: AAailing Address: Phone: <br /> IAPP�dI�IAPPC�1� IMPStL IAppZ�pl IAPP�one] <br /> Description of Work: NEW HOUSE-BASIC 2132 <br /> D,� "�/�J �///��� � l a C� �U.PJ�'� <br /> Sfte Address: 4734 BLACK FOREST LN -� �"�s� �,� <br /> •r <br /> L e g a l D e s c r i p t i o n: L O T 3 S H O R T P L A T 7•0 0 � � � } �J <br /> n .-„., �nil.4 <br /> yf,�ni- <br /> /a� <br /> Comments from Inspactor duH�inftlal inapection: � u 5'�� <br /> d-�� f'`� <br /> �PIIYlI►L �NSP�C'Cd�:�. <br /> KIflK BHOOK£ <br /> P)l17'E S 2 d�---- <br /> \ � 3�n I � <br /> Sa <br /> Approved for Issuance by: Date <br /> `� T/vsbu.�dhy �usf�4�r a /^esid�i�af ,�pr.n,��i- �- �{�,�, in c�owyvL�ai�ce <br /> Gu��/ �ie re 4vi:'�e�en�� oF Al�P.4 Sfa s,c/Frds � /3 D <br /> i <br /> S Ccrn.occl` �oof foP o�oc.�n s�vrr/r � d/rQinc�e S�n, # <br /> lp. ZiS��( cSi� �'.Sec.ue✓' f fJvi.l�i►!S 9cr G�y 1�a o��v�o� �� <br /> � � O � <br /> S�/ <br />