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Pw isio-oos <br /> APPLICATION for <br /> PUBLIC WORKS PERMIT <br /> VEIl PUBLIC WORKS DEPARTMENT <br /> 3200 Ceder Street <br /> Everett, WA 98201 425-257-8810 <br /> Date 99 -25. <br /> qq ON <br /> Owner Name:i4 o . - _ ' r /applicant Name: .J'344e <br /> Mailing Address: /. V L / Mailing Address: <br /> 6/Ct tc4 4,0 03,71a <br /> Phone Number: 7% 8 VIeW Phone Number. <br /> J <br /> Description of Work: r e e. a�ded <br /> (A drawing or plans may be needed to illustrate work to be done} <br /> Site Address: <br /> Comments from Inspector during initial inspection: <br /> Approved for issuance by: Date: <br />