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( <br />Owner: <br />BOLIN CLAY <br />Applicant: <br />OWNER <br />Description of Work: <br />Site Address: <br />Legal Description: <br />APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everelt, WA 9j201 (425) 257-8810 <br />Date <br />PW Permit No. <br />Bldg Permit No. <br />Mailing Address: <br />PO BOX 21, MUKILTEO, WA, 98275 <br />Mailing Address: <br />,� , <br />NEW HOUSE <br />831 W MUKILTEO BLVD <br />LOT 2 SP 1202-25-06 <br />07/12/2007 <br />PW 0707-017 <br />C0707-006 <br />Phone: <br />4253537076 <br />Phone: <br />�'l� 7-/3-c7 <br />Comments from Inspector during initial inspection: <br />, �ct ST C't-rJ�,2� � /15 /ti%��D�� �'r� .r?G���y�utD �� � SF•�'t%1''` <br />�� <br />Approved for Issuance by: <br />Date <br />/Z <br />