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• � <br /> APPLICATION for <br /> PUBLIC WORKS PERMIT <br /> E{/ ETT PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street �/� ��� <br /> Everett, WA 98201 (425) 257-8810 �/�� / � f <br /> 7 <br /> PUBLIC WORKS PERMIT REQUIRED? �� <br /> Date: 4/21/2015 <br /> Bldg Permit #: BW1504-003 <br /> Owner: Mailing Address: Phone: <br /> HAUGEN JAMES M 3231 BROADWAY <br /> EVERETT, WA, 98201 <br /> Contact: Contact E-Mail Address: Contact Phone: <br /> [ContactName] [ContactEmail] [ContactPhone] <br /> Description of Work: PARKING, OCCUPANCY, ENCLOSURE <br /> Site Address: 3231 BROADWAY AVE <br /> Legal Description: <br /> Comments from Reviewer: <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 /> I <br />