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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: ��li4'GA �-- c(►it` Applicant Name. <br />Mailing Address: 1 3(1, i Mailing Address: <br />Lb� Mb. 9 c� <br />Phone Number: <br />Description of Work: <br />Date 11-11 - 03 <br />C, hAt�- S= <br />Phone Number: AT.zr-J"-614b--.'7%57 <br />WE # 02-02-9� <br />(A drawing or plans may be needed to illustrate work to be done) <br />Site Address: <br />Comments from Inspector during initial inspection: <br />M <br />L j 1,rz, � jE��^ <br />i <br />Nill:d <br />o ., <br />l 5p t <br />E° <br />Approved for issuance by: Date: <br />