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APPL1CATlON for <br />PUBLIC WORKS PE IT <br />PUBL1C WORKS DEPARTME T <br />3200 Cedar Street <br />Everett, WA 98201 (425) 257-8 10 <br />� <br />Owner Name: �' t'� ;� �{ i i.Y � <br />Mailing address: ,�,�,�� ,� — ----:� <br />Phone number: 5��., ��_ ---.��. <br />.� �� ���� �. <br />� <br />, / �, <br />Date � -� �ci - L� <br />� F. <br />Applicants Name: I • �l� � �c(c�� <br />Mailing address: 7���i � 3 7�' � /�/� �/�- i3 <br />Si ���; �i l,� �'�l 1�/- L 2G- '% <br />Phane number:��'.%:�` 1.��f�- S-3 � � ' <br />/ �� /�, <br />Description of Work: �;� s-��� �� �-� it;t��l-s�� t,l � -C �(,� �,����/�-j�. -fr_-f' <br />� 1 <br />Site Address: �IA-cti��9,fr �,l�s,�� �-- ��'�� �,�.�.G„��.� „�,ti �� <br />Comments from inspector during initial inspection: <br />�.orrcve� 'cr ;ssu�nc� �v: ��te <br />!� <br />� <br />