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.___._....__.... __—__.._._._ ___ _ ....... __._._......._... ..__..._................_............_,......._.......,....._._..................._.. ........... _.___ .._.....................__ _ ........_ ,.. ....M. .......w._.............._.. <br /> ............ <br /> APPLICATION for <br /> PUBLIC WORKS PERMIT <br /> PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everett, WA 98201 425 2.57-8810 <br /> Date <br /> Owner Name: 4.1 )2 wy Applicant Name: 1Zu c( /Z Z,L n <br /> Mailing Address: 36, 23 r_ z Mailing Address: <br /> r✓r <br /> Phone Number: Y� S g p- p�© Phone Number: <br /> —i <br /> Description of Work: ,,� <br /> {A drawing or plans may be needed to illustrate work to be done} <br /> Site Address: 36 :73 << /l . E!J-e <br /> Comments from Inspector during initial inspection: <br /> Approved for issuance by: Date: <br />