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4802 GARDNER AVE 2016-01-01 MF Import
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4802 GARDNER AVE 2016-01-01 MF Import
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Last modified
2/11/2017 3:39:23 PM
Creation date
2/11/2017 3:39:20 PM
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Template:
Address Document
Street Name
GARDNER AVE
Street Number
4802
Imported From Microfiche
Yes
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APPLICATION for <br /> PUBLIC WORKS PERMIT <br /> PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everett, WA 98201 (425)257-88l0 <br /> Date /!5-O� <br /> . � <br /> Owner Name:��f..EOF,(n�U Applicants Name: lc7m �?+�n� <br /> Mailing address: �' �)��A.�iD /d✓4— Mailing address: �2?�� �,7,o44u� I�tf <br /> ��t� t,vr� �SaQ3 � f��� ��-_ �„�� 9 Rac� <br /> Phone number. �a_S'- �i9 -�S�C� _ Phone number: �iaS'—�/9-a5'E�1� � <br /> Description of Work:,�$y�.,Zi7� i3,uc� h., � to n'tA� J,��'�£"i�� <br /> _ ��iS I�e�-w�i't� �O(7�`' 7`pr a0 l�:icre� Var�S <br /> 7 <br /> SiteAddress: �� ��A�1v�E.c �� <br /> F��.� W�! 9g ac�3 <br /> Comments from Inspector during initial InapecUon: <br /> 9 jnsfa C! SiCf�.-+re �.Lo-.' loa�c. .t.�/c o� �:lG I <br /> � Cover eiGokd ear�ti �✓,�G, S�ra�,✓ �' Seeo� w�ian �v�t-/l,er �erw�i� <br /> ,;. �lo.,�r` B�ffa.-� Yes�o�o�e� P�o�t- i�dCa�� an a�{Qt�eJ Lis-� aLonJ <br /> 1"eG t�S�o%t:. Co.�ruCf GJi� (.� iN �+� �Olon.,:nf o�ePanf,„�,� f�v� <br /> �,�y pl�.�f..,s de-{a:ls. <br /> 7 /��S�ll Scur,(C aCo�� Svul� tida o� �CL <br /> � Tfii� Pe�.�.f �oer ho7� ConS�,t.�h �p�p/-ova� �'o �rCSD'4SS ah titllo�nn��_� <br /> �i'nper-f-ics l,vi fl,out n�nr�vc�•L e� � Oa�ner <br /> Approved for Issuance by: Date <br /> / <br />
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