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� <br />� <br />Owner: <br />COURYJASON <br />Contack <br />[ContactName] <br />Description of Work: <br />Site Address: <br />Legal Description: <br />Comments irom Reviewer: <br />APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC INORKS DEPARTh.4EFJT <br />3200 Cedar Street <br />Everett, WA 98201 (425)257-88�0 <br />PUBLIC WORKS PERMIT REQUIRED? <br />Date: 211112015 <br />Bldg Permit #: BW1502-002 <br />Mailing Address: <br />9306 18TH AVE W <br />EVERETT, WA, 98204 <br />Contact E-Mail Address: <br />[ContactEmail] <br />DECKING, RAILINGS, STEPS <br />9306 18TFi AVE W <br />Phone: <br />Contact Phonc� <br />[ContactPhone] <br />^ �•,� n�n <br />�� -. � ' `,' I_: <br />C,�: �__-= <br />IJ FEB i I /�'� `" � <br />CITY OF EVERE? <br />Public Works Perm�:� J <br />; --- — -- – ----.. _ <br />I UTILITY INFORMATIUN <br />IMeter Only ❑ Complete Service ❑ Install per building or per unit? (circle one) <br />Size of water meter <br />ICity of Everett Sewer yes or no (circle one) <br />I <br />Approved for Issuance by: <br />Date: <br />J�I <br />