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APPLICATION for <br /> PUBLIC WORKS PERMIT <br /> PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everett,VV,4 98201 (425)257-8810 <br /> Date i � -�v-d3 <br /> Owner Nama:�4��1 ��'f.i �if7 Z� ,c� Applicants Name: <br /> Mailina adr'ress: ,37 /� /C'�/ �L �S� Mailing address: <br /> Phone numGer. y2-� Z35 � `�2_Z Phone number. � <br /> Descriptlon of Work: �'��,e�.��' F�A.r� ,_� �� <br /> Site Address: , � Z i C—c�c� ro..;� ��y <br /> Comments from Inspector during initial inspectlon: _ <br /> Approv?c 'cr Issuance by: _ Date „ <br />