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Pwosc� -cv� <br /> �- APPLICATION for <br /> t. PUBLIC WORKS PERMIT <br /> PUBLIC WORKS DEPARTMENT <br /> � � 3200 Cedar Street <br /> Everett, WA 98201 (4250 257-8810 <br /> �i��^- a����z � 3����c <br /> 2�0� Dote <br /> Owner Name: JOU� T(ah5�� Applicant Name: Va� P�o►1,G� <br /> ��loiling '•ddress: �DI S• �d�F��DYI ��• Mailing Address: �O� J• �d�F�7�1 5�. <br /> S�e, W�- `�8(D�{- ��att(e , �,.�� �810�- <br /> Phone Number: /ILC(p�3aQj. �(� Phone Number: LQ�g.� � �� <br /> L <br /> Description of Work: ACl�temeht !3►�G1 �eM'ID��`�d'� �+t � ����5. ��.M�rg� <br /> r-. —�------ <br /> DL WIiSGG��1'1�/� I��, f�.V�di8f1�oY1 cxF Arounc� Cavl- <br /> �tarnivta#ioh, and inSf�a(l2d�ov�e�'dre.ina�� sus�'u►� <br /> (A drawing or plans may be needed to illustrare work to b don <br /> � attackeQ �ans <br /> Sffe Address: 'L �D2 r9GL{�,��4�e. and 3�02 �t�ll �.. <br /> Comments hom Inspector during inMial inspecfion: <br /> D �C���M� <br /> MAR 2 9 2005 D <br /> CITY OF EVERETT <br /> Permit Serv(�es <br /> Approved for issuance by: Dote: <br />