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I L-1 W, , <br />TET7 <br />E (G.D) <br />1� <br />3-6-N 0 2012 <br />APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 425 257-8810 <br />! M U 1 r� Applicant Name: <br />Mailing Address: 18031 0 �—`` Ave. W . Mailing Address: <br />Date Q(m �oBI tZ <br />la o-a"-s <br />L� A �8031 Slrol is� . W14 2°1 b <br />Phone Number: Phone Number: B 60 - SbB-- 460 <br />Description of Work: 5, C.C. 51 W , o l ong w"ew 6e%uer cunt+ <br />i/ja4-e-w- <br />(A drawin or plans may be needed to illustrate work to be done) <br />Site Address: PH 02 14 oU s j Q n v e_ <br />Comments from Inspector during initial inspection: <br />Approved for issuance by: Date: <br />