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owncr: <br />APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEP.qRTMENT <br />3200 Cedar Street <br />Everett, V'JA 98201 (425) 257-8810 <br />PUBIIC WORKS PERMIT REQUIRED? <br />Mailing Address: <br />BLACKBURN PROPERTIES LLC PO BOX 433 <br />SNOHOMISH, WA, 98291 <br />contacc: <br />[ContactName] <br />Description of Work: <br />Site Address: <br />Legal Description: <br />Contact E-Mail Address: <br />(ContactEmail] <br />Date: <br />Bidg Permi± # <br />��I `klU —U z`� <br />101912014 <br />C1410-004 <br />Phonc: <br />o���0��28733 <br />OCZ � 3 2��4co���c Pno�P: <br />�ITY �FkSvPe�[�'�n�actPhone] <br />pubUc �o <br />REPAIR FIRE DAMAGE & NEW ADDN <br />2204 8TH ST <br />Comments from Inspector during initial inspection: <br />Approved for Issuance by: <br />. rl��riu� <br />0 <br />����� �I,�,�� <br />�v <br />Date: <br />` �!/ <br />�e � <br />�� <br />