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� <br /> PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 7/23/2015 <br /> Permit#: PW1507-044 <br /> PROJECT ADDRESS: 2307 COLUMBIA AVE <br /> DESCRIPTION OF WORK: NEW SFR WITH TWO CAR GARAGE <br /> CONTACT INFORMATION: <br /> OWNER: <br /> NAME: COCHRAN DAVID <br /> ADDRESS: PO BOX 2424 <br /> MOUNT VERNON,WA, 98273 <br /> PHONE: 3604225042 <br /> EMAIL: <br /> APPLICANT: <br /> NAME: OWNER <br /> ADDRESS: <br /> PHONE: <br /> EMAIL: [AppEmail] <br /> CONTACT: �Owner ❑ Applicant ❑ Other <br /> NAME: [ContactName] <br /> PHONE: [ContactPhone] <br /> EMAIL: [ContactEmail] <br /> COMMENTS FROM PUBLIC ORKS REVIEWER: <br /> PW Permit Required? YES ❑ NO LAND USE PROJECT#: l�f� <br /> Please provide explanation: w.0. #: N�(-} <br /> S i`� GU�Y�- 0.C���Ra�� W�/1�UJ .�,�f Q'G(,lZ�q� �j'(c� �"v�'n�T � C�`-�6�' —C�D�7� <br /> �� J y <br /> � �� c�i P'�r� S�'S C�P6;e�-De �c rU zo���P <br /> � Cl�;e. �;�,.,�n�r ��cn ? <br /> See back side for addifional review elements to be completed by Public Works reviewer. <br /> �����SE�,o������,.s <br />