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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 `7 3/ecD r <br />Owner Name: , g �YAppllcants Name:_ <br />Mailing address: <br />.i 'V;IA- <br />Phone number: 2;;g — <br />Description of Work: <br />L <br />Site Address: .?'r1Q Ff,-QJU4�- 14VE, <br />Comments from Inspector during initial inspection: <br />Mailing address: <br />Phone number: <br />Cl <br />��S'io'eSe�vQ�s 7� /�,e 1117s 7�C(� d,o�r c��y sf � � 6o21 . off, �o/ <br />Co�S��"yC OBh OzC1 OU1'QS %f' Cpd�/>/eke_ <br />`Je ax�¢� d C'D�'Jcre e doCe Mrge0Q� <br />Approved for Issuance by: Date <br />