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10200 19TH AVE SE 2018-02-27
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10200 19TH AVE SE 2018-02-27
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Last modified
2/27/2018 7:45:45 AM
Creation date
2/27/2018 7:45:38 AM
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Address Document
Street Name
19TH AVE SE
Street Number
10200
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APPLICATION for <br /> #1114 <br /> PUBLIC WORKS PERMIT <br /> M�ETT PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everett, WA 98201 (425) 257-8810 <br /> PUBLIC WORKS PERMIT REQUIRED? lfl ' , — 6- <br /> Date: 9/25/2015 <br /> Bldg Permit #: B1509-049 <br /> Owner: Mailing Address: Phone: <br /> COSTCO WHOLESALE CORP 999 LAKE DR 4253138100 <br /> ISSAQUAH, WA, 98027 <br /> Contact: Contact E-Mail Address: Contact Phone: <br /> [ContactName] [ContactEmail] [ContactPhone] <br /> Description of Work: TI FOR CHICKEN PREP ROOM-COSTCO <br /> Site Address: 10200 19TH AVE SE <br /> Legal Description: SILVER LAKE GARDEN TRS PER CITY OF EV ORD NO 2871-05 REC <br /> AFN 200511220535 <br /> /n _sysie-Comments from Reviewer: <br /> m ddVr -fec <br /> '' LCL. ' 6 4 <br /> 1 UTILITY INFORMATION ,a (ntl\ . )CO i- P; -11 <br /> t L., f <br /> Meter Only ❑ Complete Service ❑ Install per building or per unit? (circle one) <br /> Size of water meter <br /> City of Everett Sewe : yes or no (circle one) <br /> . ,� — —— <br /> Approved for Issuance by: Date: <br /> ( (V --01� <br /> ,blas r 0c6(;ed <br /> ea/ ppy^/rirf /Or Gve ie. // nQrcepfoh is/1L . <br />
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