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2119 103RD ST SW A,B 2017-03-13
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2119 103RD ST SW A,B 2017-03-13
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Last modified
3/13/2017 2:52:54 PM
Creation date
3/13/2017 2:52:35 PM
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Address Document
Street Name
103RD ST SW
Street Number
2119
Unit
A,B
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C) ra4;2'2y <br /> 0I <br /> VSs : sada <br /> �+,5a APPLICATION for <br /> PUBLIC WORKS PERMIT <br /> � hY' 'EV 'Err PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everett, WA 98201 425 - 2.57-8810 <br /> 0// 5ODate /0// -5---- <br /> Owner <br /> wner Name: 4.5.6* /(s//ley c Applicant Name: c 7 Cri y <br /> Mailing Address: P 6 13 6�c 7/7( Mailing Address: / OK- 7/C <br /> LLY `e 006 � c-r a .0C <br /> Phone Number: 6/ - 2 2 - ed."' Phone Number: <br /> Description of Work: "6 k s- - Ne(L 0-419/-e-'}e- <br /> (A drawing or plans may be needed to illustrate work to be done) <br /> Site Address: ?-1 1 /D S C .S A ►` /3 <br /> Comments from Inspector during initial inspection: <br /> Approved for issuance by: Date: <br />
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