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0 <br /> Application for <br /> Public Works Permit <br /> Public Works Department <br /> 3200 Cedar Street <br /> Everett, WA 98201 425-257-8810 <br /> Date: ,1 !2-61 �S <br /> Owner Name: Applicant Name: �— <br /> Mailing Address:Z,6Fvi 7Mailing Address: <br /> Email Address: /�ej!6L,o,> , C Email Address: <br /> Phone Number:1l'z�^&'S -Z— Phone Number: <br /> Contact for Permit (Name/Phone/Email): <br /> Description of Work: PZI C1->,4'z <br /> (A drawing or plans may be needed to illustrate work to be done) <br /> Site Address: <br /> Comments from Inspector during initial inspection: <br /> Approved for issuance by: Date: <br />