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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 /> Date: C' _ <br /> A <br /> Owner Nam (Applicant Name: <br /> Mailing Address/�� / % �' � Mailing Address: <br /> C) <br /> Email Address: Email Address: <br /> Phone Number:7� "/� Phone Number: <br /> Contact for Permit(Name/Phone/Email): r �' l0 Z <br /> Description of Work: <br /> �(A drawing or plans may be needed to illustrate work to be done) <br /> Site Address: /q/0 /(c_ S <br /> comments from Inspector during initial inspection: <br /> E5 1e �� ; <br /> SEP 1 P) 2015 <br /> � <br /> CITY OF EVERETT <br /> Approved for issuance by: Date: <br />