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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: -�Et ED3 L� FIGS <br />Mailing address: 7o I I, C" Y P—b . <br />c��yc can w4- TS203 <br />Phone number: ZS 751 q7& <br />Date sl I (0'r <br />Applicants Name: S1a)E7 Flp-�a� <br />Mailing address: `701l0 C L,\/ P-b . <br />Phone number: `TZ 5 7S- L17& 9 <br />Description of Work: <br />Site Address: 7DI & C4L "/ ab <br />Comments from Inspector during initial inspection: <br />Approved for Issuance by: Date <br />