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APPLICATION for PlA) <br /> Id �3� <br /> PUBLIC WORKS PERMIT <br /> �� EV ETT PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everett, WA 98201 (425) 257-8810 <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> Date: 9/8/2014 <br /> Bldg Permit #: C1409-004 <br /> Owner: Mailing Address: Phone: <br /> BUSTARD CUSTOM CONST PO BOX 1243 4258766551 <br /> MARYSVILLE, WA, 98270 <br /> Contact: Contact E-Mail Address: Contact Phone: <br /> [ContactName] [ContactEmail] [ContactPhone] <br /> Description of Work: NEW SINGLE FAMILY DWELLING <br /> Site Address: 5921 LOWELL RD <br /> Legal Description: <br /> Comments from Inspector during initial inspection: <br /> ov e to al- -- c co <br /> jen��t p <br /> s�bpi+ c Iv, I s <br /> UJ <br /> �L <br /> l3 c uva, <br /> Approved for Issuance by: /Dr Date: <br />