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� • <br /> APPLICATION fo_r —� <br /> PUBLIC WORKS PERMIT <br /> E� E7T PUBLIC WORKS DEPARTMENT <br /> 3200 Gedar Street <br /> Everett, WA 98201 (425) 257-8810 <br /> PUBLIC WORKS PERMIT RE�UIRED? <br /> Date: 4124I2015 <br /> Bidg Permit #: 81504-040 <br /> Owner: Mailing Address: Phone: <br /> ANIGILAJE OLUWAROTIMI & OLAJUM 2319 COLUMBIA <br /> AVE <br /> [VERETT, WA, 98203 <br /> Contact: ConUct E-Mail Address: Contact Phonc: <br /> [ContactName] [ContactEmail] [ContactPhone] <br /> Description of Work: INSPECTION ADULT FAMILY HOME <br /> Site Address: 2319 COLUMBIA AVE <br /> Legal Description: <br /> Comments from Reviewer: <br /> ,1� �,�-.:y o,2 an,✓�--�°�a� <br /> �Q�.-� ��,,�...� �/b ��-l��,�m��s <br /> ------ -- — �Cd'Hanx'� � 5 2 �zO�j <br /> I------ <br /> UTILITY INFORMATION <br /> Meter Only ❑ Complete Service ❑ Install per building or per unit? (c�rcle one) <br /> Size of water meter <br /> City of Everett Sewer yes or no (circle one) <br /> Approved for Issuance by: Date: <br />