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o(k, <br /> APPLICATION for <br /> PUBLIC WORKS PERMIT <br /> ETT PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everett, WA 98201 (425) 257-8810 <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> Date: 6/10/2015 <br /> Bldg Permit #: B1506-016 <br /> Owner: Mailing Address: Phone: <br /> PEDERSON PAUL & LINDA FAMILY 903 43RD ST NW <br /> MARYSVILLE, WA, 98271 <br /> Contact: Contact E-Mail Address: Contact Phone: <br /> [ContactName] [ContactEmail] [ContactPhone] <br /> Description of Work: TI - ISLAND MACHINE INC <br /> Site Address: 1303 E CASINO RD <br /> Legal Description: <br /> pktris <br /> Comments from Reviewer: In <br /> Jo hn 3 S <br /> 4r -e- r <br /> UTILITY INFORMATION <br /> Meter Only ❑ Complete Service ❑ Install per building or per unit? (circle one) <br /> Size of water meter <br /> City of Everett Sewer: yes or no (circle one) <br /> Approved for Issuance by: Date: <br />