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� <br />� <br />Owner: <br />� <br />� <br />APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 (425) 257-8810 <br />PUBLIC WORKS PERMIT REQUIRED? <br />Mailing Address: <br />OOMESTIC VIOLENCE SERVICES OF �. <br />EVERETT, WA, 98206 <br />Contact: <br />[ContactName] <br />ConWct E-Mail Address: <br />[ContactEmail] <br />Date: <br />Bldg Permit # <br />7/3112013 <br />61307-049 <br />Phonc: <br />PO BOX 7 <br />C:ontact Phonc� <br />[ContactPhone] <br />Description of Work: CHANGE OF USE-EVERYONE DESERVES TO BE SAFE <br />D 15� ���r11���: > <br />Site Address: 1110 RAINIFR AVE � ��� 3 1 Z01'� ` . <br />Legal Description: <br />Comments from Inspcctor during initiai inspection; <br />� ��. <br />� � ,,� <br />�,� <br />r� '�'i-c.fi::T ; �... <br />• Y '' Per'mitlin9 <br />Pub ic Nio:'� � . <br />Approved for Issuance by: Date: <br />