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Owner: <br />KOA KOLLARS <br />Applicant: <br />OWNER <br />Description of Work: <br />5ite Address: <br />Legal Description: <br />3 <br />� <br />APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />� Everelt, WA 98201 (425) 257-8610 <br />Date <br />PW Permit No. <br />Bldg Permit No <br />Mailing Addreas: <br />P.O.BOX 12278, MILL CREEK, WA, 98082 <br />Mafling Address: <br />� � � <br />NEW HOUSE <br />3920 NASSAU PL <br />Comments from Inspector during initial inspection: �� <br />�<,2 �Tji-1 c.l�7 /I�oTE s <br />���,,,t � �'E-,'1n, �T <br />Approved for Issuance by: <br />�; - � G�!/L=� �U 1 i�d <br />61181 <br />PW1006-019 <br />C1006-024 <br />Phone: <br />4254829806 <br />Phone: <br />scW��-z. e r3r° ol"� <br />Date <br />�� <br />