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Owner: <br />SALZ CASEY S <br />Contact: <br />[ContactName] <br />Description of Work: <br />Site Address: <br />Legal Description: <br />Comments from Reviewer: <br />� <br />� <br />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 />Mailing Address: <br />C/O BRIEN MOTORS INC <br />EVERETT, WA, 98203-3632 <br />Contact E-Mail Address: <br />[ContactEmail] <br />TI - BRIEN FORD <br />�2�% <br />�5�i0'�'EVERGREEN WAY <br />2/12/2015 <br />B1502-013 <br />Phone: <br />Contact Phone: <br />[ContactPhone] <br />6ut��iw�ad -`��,�o�V� =�+i�?� �� <br />11�2���� ._�O l.il�..... <br />S�OZ 1 ! ��� ;, <br />�n <br />�U ��� �� Q <br />j <br />� .r ,� � <br />,��,� > <br />��� ��� , _ _ <br />������ � � � ��( � � � � �' � �'� �'.�- 1 � <br />� �^��������� � <br />� <br />UTILITY INFORMATION <br />Meter Only ❑ Complete Service ❑ Install per building or per unit? (circle one) <br />Size of water meter <br />City of Everett Sewer: yes or no (circle one) <br />Approved for Issuance by: Date: <br />