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APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 (425) 257-8810 <br />PUBLIC WORKS PERMIT REQUIRED? <br />Date: <br />Bldg Permit # <br />7/12/2013 <br />C1307-007 <br />Owner: Mailing Address: Phone: <br />LEE ROBERT 10933 SE 186TH ST <br />RENTON, WA, 98055 <br />Contact. Contact E-Mail Address: <br />CHAMPION ROBERT (ARCHITECHT) <br />Description of Work: <br />Site Address: <br />Legal Description: <br />NEW HOUSE -BASIC #500 <br />1918 98TH PL 5W UNIT A <br />Comments from Inspector during initial inspection: <br />Gent �7\� <br />Contact Phone: <br />(I SU293136 <br />p1� v1c�2p13 <br />DEV pr r <br />.tn0 <br />9uy11c vvu <br />— In 114 S (A re I � 1, <br />0 LA <br />9 U1 TG l s <br />Approved for Issuance by: po/ <br />Date: <br />