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APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC VVORKS'DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 425 , . 257-8810 <br />Owner Name:/UL6 / Applicant Name: <br />Mailing Address: Mailing Address: <br />re H did ,/ <br />Phone Number: �a ,,`! ,2 507 -2J / oz Phone Number: <br />Description of Work: <br />(1 TY e- o-W <br />6010,02 O/Iv <br />Date ;:'� /Z-/0 <br />(A drawing or plans may be needed to illustrate work to be done) <br />Site Address: <br />Comments from Inspector during initial inspection: k� 2— %R-10 <br />Approved for issuance by: pate: <br />