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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: <br />Mailing address: <br />vP�e # - C+J� f�� <br />Phone number: Yz s - 107- & % G <br />Description of Work: 16t) -; i, <br />Site Address: d O •12-1) Aa <br />Comments from Inspector during initial inspection: <br />Date <br />Applicants Name:`/e <br />Mailing address: SIM .e, <br />Phone number: 5 Owl el <br />Approved for Issuance by: Date <br />