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Owner Name: <br />APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 .425 257-8810 <br />Applicant Name: <br />Mailing Address: cF-Z3o 2EJn / 4,&, / A Mailing Address: <br />Phone Number: yu �„� .���� Phone Number: <br />Description of Work: <br />Date 6-6-6 <br />x <br />(A drawing or plans may be needed to illustrate work to be done) <br />Site Address: 2 32-0 ���� ,�� �i��'l lil/.Q�1�2D� <br />Comments from Inspector during initial inspection: <br />Approved for issuance by: Date: <br />