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10521 19TH PL W 2016-01-01 MF Import
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10521 19TH PL W 2016-01-01 MF Import
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Last modified
4/10/2017 8:29:30 AM
Creation date
4/2/2017 3:21:46 PM
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Template:
Address Document
Street Name
19TH PL W
Street Number
10521
Imported From Microfiche
Yes
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APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 (425) 257-8810 <br />Date � 2 / 5 O( <br />Owner Name: PC �d��� Znues �ri9o,zlo,/�'G Applicants Name�i�n S7��ucno7 LanC�r��S' �.o�p <br />Mailing address:'7�`7` %�n� �/E <br />%r!C�/YSU, %�P�/.1/f% cl.`r Z7r� <br />Phone number:� �ZS,� -3.30- (753 <br />Description of Work: <br />K�l�al/' <br />/l�e�✓` /12u/c,��a G(/� <br />� S�C�,•Ja%/c �v.�iri <br />Mailing address: _ P � �oX 5� <br />S�ahoin �9�� GdA 9c 29/-�58 <br />Phane number��f25 � 327- ?�f72 ' <br />Site Address: /0523 / 9'" PL w E�e�� �/A �a1uy — U%�,'� Serv�� <br />� <br />/05 2 I /! �` � (,v Fv�,�/`': tdA �fs7�v - S��esaryer <br />Comments from Inspector during initial inspection: <br />Approved for Issuance by <br />Dale <br />
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