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4119 SR 529 2016-01-01 MF Import
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4119 SR 529 2016-01-01 MF Import
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Last modified
4/26/2017 8:06:01 AM
Creation date
3/10/2017 12:06:18 AM
Metadata
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Template:
Address Document
Street Name
SR 529
Street Number
4119
Imported From Microfiche
Yes
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� <br />�' <br />A,PPLICATION for <br />PUBLIC WQRKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Fverett, WA 98201 (425) 257-8810 <br />�� � <br />L. <br />Owner Name;���r /i�� �' �� � � � � �r i 1 <br />„� ,.yi-� S�. <br />Mailing address '�� �.f .7 � <br />l�l�'�; //j��/,� /� ��%�i %5'0�� <br />Phonenumber:��;�� ����'�'i���`�� <br />Description of Work: _, � ��'� / / � //� / <br />����onr�� <br />M�,R 2 7 ?rin� <br />CiTY UF EVERETT <br />:npiroorinp�Public Servlcos <br />Date �i ����Ii1 %���` / <br />Applicants Name:���l7� �"�/'"/ ���t'S�f� <br />„ . ��s-�sf <br />Mailing address: �<'��� i �'� � _ <br />{l��/-`C�/��f �� � ���J����'%� <br />Phone number. �i�'.� �iff,�/ ) �"�Y' � <br />/, �� f� <br />Site Address:'�` ��� � .' ' ��.��/�'�; �I/� <br />Commepts fr m Inspector during i <br />� �II �� /.` `�l� <br />_� <br />I <br />._ 1� <br />�'.pproved for Issuance by: <br />fnspection� _ <br />f�.ir�— <br />;��nk <br />�S <br />ux Sd�.wj� <br />
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