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r <br /> , wa APPLICATION for <br /> PUBLIC WORKS PERMIT • <br /> PUBLIC WORKS DEPARTMENT <br /> ETT 3200 Cedar Street <br /> Everett, WA 98201 425,257-8810 <br /> Date g/gA/ <br /> • <br /> Owner Name: Tg&reoL. iDao I/ Applicant Name: / L...'( <br /> y Sacties <br /> y <br /> / � <br /> Mailing Address: 7/a5� iS? S J • Mailing Address: (Pa €i <br /> cYnietndis, Wie7 9k <br /> Phone Number: 6;W) 6172.11iVd Phone Number: <br /> Description of Work: fledTorMS427e7ee- <br /> rihS 601y <br /> (A drawing or plans may be needed to illustrate work to be done) <br /> Site Address: (3 f` 47SarcV,4e, "trE r', G gRei <br /> Comments from Inspector during initial inspection: <br /> ) l 21 r 714 6 x.r M c c rvra G r;J / uS d S i D 2) A <br /> / r evc.( t,✓( 3 o c ' f2 aS fit' c j/ u c'o 2 1 . <br /> 3) A AA (A/ (A/v1 /5 RE.,ac.Ltrze,"-N <br /> Sr � .✓ L < <br /> 06 U II 0/3 <br /> Approved for issuance by: Date: <br />