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APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 42S • 7.57-8810 <br />Date 10 (s an? Lf _ <br />Owner Name: `�t,►1�1s�e1�� Applicant Name: it r t •C e <br />-�- 1Btya v.ba u s <br />Mdin'j4ddres: 1302 1?. OZ 3ax 3y342 <br />Phone Number. 1nG -Q/�- 2358 _ Phone Number: ZLO-qol - <br />Description of Work: �ft.. ty. <br />LL_.'4-d._ _..1 ..T r. Put- 7L. &&.LLo Fily <br />(A dium(KA or plans may be needed to Pslrate Worrto Ue done( <br />Site Address: E r oR <br />Comments from Inspector during initial inspection: <br />Approved for issuance by: Date: <br />