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--e(A) <br /> O3 . <br /> Application for <br /> • K f 7 <br /> Public Works Permit <br /> a f.f5y� <br /> Public Works Department <br /> 3200 Cedar Street <br /> Everett, WA 98201 425-257-8810 <br /> Date: <br /> Owner Name6kOTI AL PrttmE (Pi20/)/ Applicant Name: A ,5kO "1-Oil-C, <br /> Mailing Address: tO op )(.4--2&2' V Mailing Address: <br /> Fu �t— WA- qgZ 4 <br /> Email Address: T-& ckoroAL, ° C®' Email Address: <br /> Phone Number: A/2-5'05-2-'6000 Phone Number: <br /> Contact for Permit (Name/Phone/Email): Atz r- 1{oT vDA t-- `6,/k2Y 6 LL-:/T-4 <br /> Description of Work: ( 0 2-- V 4- f , 20 Oct P <br /> L Z -N Aga-4J cry 5 iii-.c� <br /> (A drawing or plans may be needed to illustrate work to be done) <br /> Site Address: ?90 / <br /> Comments from Inspector duri <br /> Pre/V7r <br /> Approved for issuance by: Date: <br />