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�:y rsY APPLICATION for <br /> c ri PUBLIC WORKS PERMIT <br /> PUBLIC WORKS DEPARTMENT <br /> 3 ' __;= Y ETT 3200 Cedar Street <br /> Everett, WA 98201 425.- 257-8810 <br /> Date <br /> Owner Name: ?-081a< LAO Co Applicant Name: O/ 4?d Jt i Jw <br /> Mailing Address: € ' I (-40/- A Mailing Address: 27707 �✓� <br /> Y Cfri "ti: • £ - rr j hNU cmo) <br /> Phone Number: 4-it 2-‘. 2 1 o03 Phone Number: 4/ P7 <br /> Description of Work: 1— Cpl' �i+' �,/� �nl � idecric 3.2 <br /> (A drawing or plans may be needed to illustrate work to be done) <br /> Site Address: 7,009 IMUS</I f J L . ) - ec q�j <br /> Comments from Inspector during initial inspection: <br /> Nov 0 3 LU15 <br /> CITY OF EVERETT <br /> Per�l�It Services <br /> Approved for issuance by: Date: <br />