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APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 (425) 257-8810 <br />Date <br />7 r6o <br />Owner Name: ;� � � �i��y Applicants Name: �(,��12: r <br />Mailing address: Mailing address: <br />Phone number:��� - �� Phone number: <br />Description of Work: <br />Site Address: <br />Comments from Inspector during initial inspection: <br />Approved for Issuance by: Date <br />