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{�a�d f�o�`'� w��f W �'+ti <br /> � � ' � �W 15�3 - o3r� � <br /> �Jr¢✓�ov3 <br /> APPLICATION for <br /> �, PUBLIC WORKS PERMIT D _ <br /> ✓ EY E7T PUBLIC WORKS DEFARTMENT �� � � � O� <br /> 3200 Cedar Street � <br /> Everett, WA 98201 (425) 257-8810 <br /> PUBLIC �'UORKS PERMIT REQUIRED? y�s �.� <br /> � <br /> Date: 4/2712015 � <br /> Bldg Permit #: C1504-016 $ (�� <br /> Owner: Mailing Address: Phone: <br /> KIRSHNER HOLDfNGS LLC 4113 127TH ST SE <br /> EVERETT, WA, 98208 <br /> Contact: Contact E•Mail Address: Contact Phone: <br /> HAACK BROS CONST INC joel@haackbrothers.com 4252902429 <br /> Description of Work: NEW SFR <br /> S'cl,ao� l;��f -� .fc�e PLo�,.,.:,y <br /> Site Address: 9811 24TH DR SE ��Q�/G ���t. � PQ;O�W/`�yor-f/�(�f <br /> r8' <br /> LegalDescription: GtJ�c�¢r'S�'�v�Ce -� z39¢- <br /> SecJ¢.- --�'��'pao <br /> Comments from Reviewer: S'f/S'�`QM ��v. {ge � �/e S �y ft�ouse � <br /> �ii�� //yd Co����a., o,�" <br /> UTILITY INFORMATION --, <br /> Meter Only ❑ Complete Service� Install per building or per unit? (circte one) <br /> i <br /> Size of water meter %!� � <br /> City of Everett Sewer es or no (cirde one) <br /> Approved for Issuance by: �1� Date: 4 -2 y-/ S <br />