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APPLICATION for <br /> PUBLIC WORKS PERMIT <br /> PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Sheet <br /> Everett,WA 98201 (425)257-8810 <br /> Date �.��.�D t <br /> Owner Name: S/vv�U t7 Applicants Nama: QWiF�1CAA1 LI E Bu�, nc�c <br /> (Ad.;Gn �� <br /> Mailing address: Maiii��y address: lXq �S ��Z�Aue. N� �` <br /> c.��n�rlt�, WA 9�0�2. <br /> Phone number: . Phone number.,_:z66 �425� �F1S� D9qa� <br /> DescrfpUon oi Work: Tns�a.l� � � � 4�� P��. �Ond�} 1✓1 a 3 ' dee(� <br /> }r �4� �10' Io a � nnnec�ina a� e�cis�,�w SNo�uD <br /> (X�(11Pr l)Q.IW✓ TU 0.. A15�T1MR� l'�o b� OYl_ <br /> Adv0.�c.v..s� Tz1Cow� �rvu�� Tvu. OWYIA�) Pro6'--�-Y� - <br /> Site Addresa: �q� ��b� a� � <br /> (�„Iby ;, �Jn��� <br /> Commenta from Inspector durinp Inftiai inspection: � <br /> 2 <br /> \ �,�n�1 <br /> �NIT!�+L �NSP�CTii:i <br /> rn <br /> KIRK BROOK6 �7 , , �/ <br /> l . <br /> �:�,1 e _'3 -�—� / ----- v7 I � <br /> / <br /> Approved for Issuance by: Date <br />� � <br />