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� �� (���- J OD� <br />APPLI�A1'ION for <br />PUI�LTC 1IVORKS PER�N�T <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 425 - 7_57-8810 <br />Date � � ` / � 5 <br />Owner Name: ���✓� C��- '�JE��c .�c Applicant Name: � ✓ <br />Mailing Acidress: �. C� .�r„c �3�_ Mailing �ddress: �.�,,. � c�53� <br />�- � �✓ �-,td���rr'�c� ��a,� :�-.,�...�.1.1� �t� 2-�� <br />Phone Number; �L{�,5� 'Z,�j� -. ��C� y Phor�e Number. �y'�� ���.� -- G'I o3 <br />Description of Work: j,��c-� r�ce c�4 ,�.�-�a ��c P X.��c� -Er.c :�;tie-S , c�n� <br />�.' x' � <br />�t��-�. vC�L �C�. ��Sc--2_� '�SS�- C-�k�'c`GW <br />C�--�aE.�-...��V .S c�.r� c�i� ,���e_ �.� . .�e-�-� . ��.__ � ud.e-�. <br />(A drawing or pl ns may be r�eedecf to illustrate work to k�e donej ���v�^�S _ <br />Site Address: 2..� ��=-� e-✓n-;�c,\ �,r�v�y ��ev��c-, 1�.:;r'� C(�2� l <br />Commenfs from Inspector during initial inspection: <br />Approved for issuance by: pate: <br />