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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 />Owner Name: l n a r- C5' S f %J <br />Mailing address: ( to <br />Phone number: y a-L:5 , n D / - 6 77 -;? 9 <br />Description of Work: (J U r b , I�r r 7 Pr ide <br />Site Address: <br />Comments from Inspector during initial inspection: <br />Date <br />Applicants Name: �i n � r (1�.. ,--�'42- <br />Mailing address: <br />Phone number: 19,15 -501-6 �--7 1-? ' <br />IN <br />Approved for Issuance by: Date <br />