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Owner Name: <br />Mailing Address: <br />Phone Number: <br />APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 425 257-8610 <br />(117T OF 6IM5 'T Applicant Name: <br />Mailing Address: <br />Phone Number: <br />poozid -dos <br />Date <br />1) / 8 /08 <br />P67-,- HC 6- L) / ,e E <br />714 6or�CoHog,vy <br />/301( 3707 h S ON-13 <br />/ <br />Description of Work: 1111flGL 7'�✓D A42 T/0S 611I LT 4✓/7Y I*W E/X5 <br />TO G- l vE 15IVz oYEES A TD <br />S "e eC_ THE <br />A drawing or plans r <br />s/Ai <br />needed to illustrate work to be done) <br />0Lk <br />Site Address: �rf/T.,' tJ #� �Ee/M��,Q XB- Q SFyh49- <br />Comments from Inspector during Initial Inspection: <br />Approved for Issuance by: Date: <br />