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. . . � � <br /> � APPLICATION for , <br /> PUBLIC WORKS PERMIT <br /> EJ7 PUBLIC WORKS DEPA.RTn�ENT <br /> 3200 Cedar Sireet <br /> Everett, WA 98201 (425) 257-8810 <br /> '��I �O�-o3�r <br /> PUBLIC WORKS QERMIT REQUIRED? <br /> Date: 4;2512014 <br /> Bldg Permit #: 61404-037 <br /> Owner: Mailing Address: Phone: <br /> JORGENSEN ROBiN 1415 ROCKEFELLER 4252593423 <br /> EVERETT, WA, 98201 <br /> Contact: Conhct E•M3i1 Address: ConWct Phone: <br /> [ContactNameJ [ContactEmail] [ContactPhoneJ <br /> Description of Work: BEQROOM, BONUS ROOM ADDN � ���0 l/ � D <br /> � � <br /> � AP D <br /> � R 2 8 2014 <br /> , .... ....... ................ <br /> � CITY OF EVERETT <br /> Site Address: 1415 ROCKEFELLER AVE Public Works - Permitting <br /> Legal Description: <br /> Comments from Inspector during initial inspection: <br /> �7 <br /> � , /� <br /> �F�zv <br /> Approv��d for Issuance by: Date: <br />