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� <br />Owner: <br />K & M COWSTRUCTION <br />Applicant: <br />[AppName] <br />Description of Work: <br />APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMEN f <br />3200 Cedar Street <br />Everett, WA 98201 (425) 257-8810 <br />Date <br />PW Permit No. <br />Bldg Permit No. <br />Mailing Address: <br />8207 74TH PL NE, MARYSVILLE, WA, 98270 <br />Mailing Address: <br />[AppAdd], [AppCi], [AppSt], [AppZip] <br />NEW HOUSE <br />Site Address: 10026 21ST AVE W �� <br />I a /�`�. <br />Legal Description: ���" <br />� i /i=i = <br />Comments from Inspector during initial i s�t'or: " <br />//l'"•%' �r /i'7�"�/J /� D` ;i'' % r <br />Of /OT � <br />j�r('i !/%�� • <br />c <br />t �, <br />S: <br />=%�'._- <br />5112/2010 <br />PW1005-010 <br />C1005-006 <br />Phone: <br />3606510968 <br />Phone: <br />[AppPhone] <br />�Z,. S7`Od?'i'y' ��'/l�� <br />,�Gz-//�l�o�� a•r S/7G �� /f'�%',YO.Y�/`7sf�CY � ' N�c�G�� <br />i /�� � / .� >�l` c`�'r !_� ✓E` G . /'�- �.Y �Gt�e� � � �f- �y.�i ! <br />I ". ._ � i/.f//s (��- �/ �%'l G / /�'��� / /r0��2�s �� % ��c � i �y,�/�l'� <br />f l / � <br />/�Lfi�''�%�_ % /� fii/�..li� !,� .��^-.%,�T /Zl'�� ii,�°".�-r �. �^� <br />� �,/�',7�i�,,7G''f��' /•?i /.-- /� /J'D Tf�� �l/�F�-�-c' �'-Z /.r/t�'L�i'�//� <br />.. /; ;-.i ,:..,..,., ;��J' � / �%%?�� / �L'l.�.'i'' �c/f/i�i.^�' G'_—N/r�/�� r�/.r+./cC <br />Approved for Issuance by: <br />Date <br />.� ����`� ' ;� � �) <br />