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APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 425 •x 257-8810 <br />ten,U- R& <br />Owner Name: H4,YVex A TV-0-x-V4 VU� Applicant name: <br />Mailing Address: 98: MailingAddress: <br />�c�%1SLv Vvff 8o-,� b <br />Phone Number: 3(.-a S�v `( �c) I Phone Number: <br />e4e-(rl <br />Date <br />-- (L(") 33 -�5 6—z,77 0--13 <br />Description of Work: 3 - 1-6N P lO� �- ► ► �X 5 <br />(A drawing or plans may be needed to illustrate work to be done) <br />Site Address: 10 i 3 ® w 4y <br />Comments from Inspector during initial inspection: <br />Approved for issuance by: Date: <br />