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c <br />APPLICATION for <br />PUBLIC WORKS �PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everetl, WA 98201 (425) 257-8810 <br />Owner: Mailinp Addresa: <br />GELLERSON CONSTRUCTION 1408 4PTH ST SW, EVERETT, WA, 98203 <br />Appl: <br />Description o� Work: <br />Site Address: <br />Lepal Deacription: <br />Malling Addreae: <br />[AppAdd], [AppCi], [AppStj, [App21p] <br />NEW HOUSE • BASIC 2188 <br />G17 95TH PL SW kLOT 2 <br />LOT 2 OF SHORT PLAT 1202-24-00 <br />Comments irom Inepector duriny Initiel In�pectlon: <br />� <br />� <br />Se �..� e. �(.,�-i-4�' a �e <br />( lP/ d�W �15?O.+'t5 � <br />l�y� � 0 'f • <br />Date 0?11M2002 <br />PW Permit No. PW0202-013 <br />BLOG Permit No. CO202-018 <br />9gz�1 <br />Phone: <br />4252526704 <br />P;�one: <br />[AppPhone] <br />�u�.l�l ! }� w a'% C�Sm�-f <br />S1v��•- 54.�6 <br />Approved lor Issuance by: /l .�(�� Date <br />� G� <br />�� e <br />���1i?7P,�'�� <br />2 �! 5 -a�- <br />2 —t � -r2 <br />