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APPLICATION for <br /> PUBLIC WORKS PERMIT <br /> +.' ETT PUBLIC WORKS DEPARTMENT <br /> ,3.". 3200 Cedar Street <br /> Everett, WA 98201 425 257-8810 <br /> Date a/7. /./d. <br /> Owner Name: C110.-t( a: I Applicant Name: Rie4m. Itch .5c,'-'`4 uS <br /> Mailing Address: MIL VI5,117 Mailing Address: D-0136--- cis 1Aw 4,„_ <br /> LA- FO3Z , (A 107146 <br /> Phone Number: Phone Number: 31 0•- S- c/` .S 1� <br /> Description of Work: e_oinf)�� ►hDnif° D7 yr c,w,� q- a►;nEv, 1- �%T <br /> I ( } ro�.,r(wafa� wt.�1 <br /> (A drawing or plans may be needed to illustrate work to be done) <br /> Site Address: I5r t i I I14k St <br /> Comments from Inspector during initial inspection: <br /> Approved for issuance by: Date: <br />