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, _ . _ . - . _ <br /> � c:} <br /> APPLICATION for � <br /> PUBLIC WORKS PERMIT � <br /> PUBLIC WORKS DEPARTMENT <br /> ,'-' 3200 Cedar Street <br /> Everett,WA 98201 (425)257-8810 <br /> Date �5�� <br /> PW Permit No. PW0104-029 <br /> BLDG Permit No. C0104021 <br /> Oxmer. Mailing,��ddress: Phone: <br /> GOERTZEN HOLDING INT INC 11607 23RD DR SE, EVERETT,WA,5+8E�8 4253375279 <br /> qPP�: Mefling Addreas: Pho � <br /> IAppAdd],IApP��I� IAPPSt�� IAPPZ�P ApPPhone� <br /> f�escription of Work: NEW HOUSE-BASIC 2126 � U�""" /� }� , d yN. 'I 0� <br /> Y�✓" ..r^n',�.p�-� ��y�. <br /> � � �� �� d�""- <br /> Site Address: '1702 23RD DR SE�ra:E3f�4• <br /> Legal Description: LOT 4, SHORT PLAT 39-99 � <br /> Co-r-�� ��o�. s <br /> Comment�om Inapector duriny Inkial Inspectlon: <br /> ,,�• '�,�, —1 . Cc�+NeGiF e�o�✓�Po� fi 5�'"rr� Sl4*b ?iw�fed M /a'7�. <br /> C1�� ���,°� �', �e rot ra.tw ek��f�r � �� 6a.c�C oP- t�t <br /> � ��. � �� µuwt P,���y �►� ►�.� _��is����-� � <br /> �' �,1� loQ. �rr.JFd f� af h� Y�O�I- i^r^" <br /> �,1�c.teM-+ /•tS wl� d,�,ktw�p. . <br /> A�,ti ��� �NSPECTiO�. <br /> �aaK sRooKs <br /> •snt� ¢ ..�-o f l�- 17— �� <br /> Approved for Issuance by: Date <br /> � . S G.,�.., � l 17/� —Z3 ���r, �S� <br /> 7 . <br /> �B <br />