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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: 9/23/2015 <br /> Bldg Permit#: B1509-041 <br /> Owner: Mailing Address: Phone: <br /> NICHOLSON MACHINE & TECHNOLOG 6000 23RD DR W <br /> EVERETT, WA, 98203-1575 <br /> Contact: Contact E-Mail Address: Contact Phone: <br /> [ContactName] [ContactEmail] [ContactPhone] <br /> Description of Work: TI (PHASEII)-TEAGUE <br /> Site Address: 6000 23RD DR W <br /> Legal Description: Na PG(I town <br /> flau 047'fiVy Af-MlifUo <br /> Comments from Reviewer: N4 cnGtnre,of S1 <br /> fB. /6/5/2 0/5 <br /> UTILITY INFORMATION <br /> Meter Only 0 Complete Service 0 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 /> Pziled <br /> P7ais 110 <br />