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� <br />� <br />owncr: <br />CITY BANK <br />Appiicant: <br />MARTAB NORTHWEST LLC <br />Description of Work: <br />Site Address: <br />APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 (425) 257-8810 <br />Date <br />PW Permit No. <br />Bldg Permii No <br />Mailing Address: <br />PO BOX 97007, LYNNVVOOD, WA, 98046 <br />Mailing Address: <br />� <br />NEW HOUSt - BASIC 337 (OPT A) <br />12507 17TH AVE SE <br />0�/08/2010 <br />PW 1002-009 <br />C1002-004 <br />Phone: <br />4257455933 <br />Phone: <br />2066691903 <br />Legal Description: SOUTH LAKE ESTATES LOT 5 <br />Comments from inspector during initial inspection: <br />; ,,.--,�,�� �c�ir�-��-%�rs .coi.- ,��i.t,-�i��S <br />�,: i ,,:.� ( • �7i5'�� � r/`/is ocl�EGOs�'/�/v��'T' <br />Approved for Issuance by: Date <br />