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� � <br /> APPLICATION for <br /> PUBLIC WORKS PERMIT <br /> EY ETT PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everett, WA 98201 (425) 257•8810 <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> Date: 411712014 <br /> Bldg Permit #: 81404-023 <br /> Owner: Maiiing Address: Phone: <br /> PROVIDENCE GEN MED CTR PO BOX 1067 FINANCE DEPT <br /> EVERETT, WA, 98206 <br /> Contact• Conlact E-Mail Address: Contact Phone: <br /> [ContactName] [ContactFinail] [ContactPhone] <br /> Description of Work: TI-PRMC DIAGNOSTIC IMAGING � `,� c� ,. <br /> D C�[�fl��� I::.�., <br /> APR � < < ���'� �"� <br /> Site Address: 1700 13TH ST <br /> ._ <br /> ......CITY Or' EV_ �.� +! ,_. . <br /> Legal Description: public Wo�r�� " ` �- " '� " <br /> ' Comments from Inspector during initiai inspection: <br /> �/ �/ <br /> r ��., � <br /> � <br /> Approved for Issuance by: Date: <br /> ,�� r��.� P��Gt s <br />