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�APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 .425 •� 257-8810 <br />�'y� � ��� � ��� <br />Date 6'� J� � <br />, / i �� � � S ,�`" <br />h r <br />Owner Name: /.�� I ��' (%�ire Applicant Name: � � <br />Mailing Address: �3a �� � r����..J � Mailing Address: .5��./Yl� <br />��"�' �. �I� ���� / <br />Phone Number: �!-��� j,8 �� -�� �,5 Phone Number: <br />< < r '� <br />Description of Work: �/ �Gi���-��2 Lil f�C /�j�� �� <br />r� �" f <br />/_I �i lS� �%/fy �5�� C� �/ /l.�� -5'fYf �.' T . %�iZP 1.l'� � <br />�� w� �� /Yl� fcfi- �1� � d � s;���-C� <br />(A drawing or plans may be needed to illustrate wor be done) � <br />�J !��'1 -'�Q,/� !� GrJL� O77 � <br />r�((%7I �jl�'f �-' �� / i i CG� �f.' .�f, • l.�'! �v2 / � 1. �rl �-�-- ' '^I�YI �'�� d <br />p��- �S�-�e f . �'`/� n� -� � / �e-�i �;��L w� �, . � <br />Site Address: +d/ � �/��� <br />.� .�-. ���. /. <br />3 � " <br />�� <br />Comments from Inspector during initial inspection: � r %�` <br />�, � , s �. <br />,� <br />— . ��cz�'� ��'�: n� 1k=i C��� �=% � Gc�F�C �l -�-� �.�- � _s " �� �� � <br />c'� /�a ��- /S �. �� �� <br />� `� �' ii 4�. �1�? � ��-- J'� ��,5� �� '� <br />— / `�<�X%<ylu !i't G'%.l``i 9��%� � � o- <br />� �� � .` � f_ C�� �f c/-� CY� <br />/ y" 7 ' � � <br />._ L .� r����� <br />� S ( CI'/�-Y� ScJ {��C�r� ��� �-8'J� [l� � ��� �� <br />� z ;, <br />��2 f d.l � l�.:_ k�. �r/ r�Y�� � � - ,� E% <br />l+ 5 <br />Approved for issuance by: Date: <br />