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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: "OV#o L% Z- <br />Mailing address: 60'7 <br />Ev arLE-Tj- WA- > B 2-03 <br />Phone number: `�'L Z —1(�IL <br />Date 5- / e -Q( <br />Applicants Name: -� A rrNe <br />Mailing address: <br />Phone number: <br />Description of Work: PL-A--i C�-� <br />Site Address: "72,1 -PE-C-K-S DaivE <br />Comments from Inspector during initial inspection: <br />Approved for Issuance by: Date <br />