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(�I G1 � ,008 <br />�I�io�-Obl <br />t Duxdo�f'o� <br />�'��� <br />v� -� _, <br />e`��� <br />u <br />� P►n�130� <br />Application for <br />Public Works Permit <br />Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 425-257-8810 <br />Date: / i3 <br />OwnerName: ��o��� i'���}3 ApplicantName: 5��..• d� o.—��� <br />Mailing Address: 2Zoo (, K/1,.,. - St� �zo Mailing Address: <br />S�_-�"�e� l,./%' 9fs/ 2! <br />[mail Address: <br />Phone Number: <br />Email Address: <br />Phone Number: <br />Contact for Permit (Name/Phone/[mail):�•�., 11i��..b PE <br />Hu'- 3�3 - 9363 6�-,�„ , ,,,c�s��P ,.:,..��,-,,.� . ���- <br />� — <br />Description of Work: Fr..�l 3�, T n�t. ��,,..<.d'6 �.. � r�-�-y��,�.-�L � <br />[� <br />/"�_�IS��' <br />(A drawing or plans may be needed to illustrate work ro be done) <br />Site Address: <br />W /V�a�in.e Vw <br />Comments from Inspector during ini ial inspe ion: <br />���_ ����� � ���5 <br />� <br />Approved for issuance by: <br />Date: <br />