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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 o (-Q <br />Owner Name: tM Applicants _ licants Name:_ V- <br />Mailing address: � � 2-5 ) "?- �CA, V�v z S•C <br />Eve�2 kA W c�,02Dg <br />Phone number: <br />Mailing address: -7 ) - u r c;�o,&k pY . <br />6,0VR-- �. w.�a=(JzCV <br />Phone number: 9 <br />Description of Work �1'\w <br />Site Address: -11 1 O C-Q S(� C�W- E/Q -e- A-k- c) E ZJ 3 <br />Comments from Inspector during initial inspection: <br />Approved for Issuance by: Date <br />