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_....................._- .._.....__...-_.................__...--.--------..........._._._ ......... _ ..._..... ............_.....__ __._........,.........,._.........__,......._...... <br /> APPLICATION for <br /> PUBLIC WORKS PERMIT <br /> hv, PUBLIC WORKS DEPARTMENT <br /> �� EY ETT 3200 Cedar Street <br /> Everett, WA 98201 425 2.57-8810 <br /> cy L 0-4L" Date f ( l <br /> Owner Name.. �"` ���"� "� 5�� Applicant Name: <br /> Mailing Address: 0 I Mailing Address: <br /> g�l�� <br /> Phone Numnbe : _ $"L�- Sjs Z � Phone Number: --- <br /> Description of Work: HA P P i Jc., A-0-�C L4 <br /> I&CV S <br /> (A drawing or plans may be nee ed to illustrate work to be done) <br /> Site Address: <br /> Comments from Inspector during initial inspection: <br /> Approved for issuance by: Date: <br />