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APPLICATION for <br /> PUBLIC WORKS PERMIT <br /> ETT PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everett, WA 98201 (425) 257-8810 <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> Date: 12/5/2014 <br /> Bldg Permit #: CW1412-002 <br /> Owner: Mailing Address: Phone: <br /> SURFACE JAMES G & BEVERLY R 5618 100TH PL NE <br /> MARYSVILLE, WA, 98270 <br /> Contact: Contact E-Mail Address: Contact Phone: <br /> [ContactName] [ContactEmail] [ContactPhone] <br /> Description of Work: ELIMINATE UNLAWFUL BEDROOMS <br /> Site Address: 1931 ROCKEFELLER AVE <br /> Legal Description: <br /> /16 e://:),44/ <br /> Comments from Reviewer: <br /> UTILITY INFORMATION <br /> Meter Only 0 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 />