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APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DE?ARTPAENT <br />3200 Cedar Street <br />Cvercli, V�lP, 98�01 (425) 2�7-8810 <br />Qwner Name: PL-M�NC.p 'PA(L�.XT'}{cop <br />Mailina address: (50� 3zMd 3T <br />�UEILG-TT, v,1n �C� 7e <br />Phan= number: <br />Description of Work: <br />Site Address: <br />�UJ 0�}Gy"�� � <br />Date q � I3/oq <br />Applicants Name:�o2G-tL %�Ar� ;� <br />Mailing address: 220o Z�q u" ��, ,,� ..,�t zC <br />��J � � ����E <br />Phane number�—`� n - � �o � _ �x 11.°-, <br />� <br />Comments from Inspector during initial inspection: <br />P,eproved �cr Issuance oy: _ D�te <br />