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Owner Name: <br />Maiiing Address: <br />Phone Number: <br />Description of Work: <br />��-g----'' `� <br />`��� <br />,_ <br />. . ._._ �� ,�..,.�.._ <br />. .. __ . .. .... .. . ....... . ___. , <br />�.,f_ , <br />1 '� � � �� p11 <br />1�y a�� � d1 � <br />:�� � ;�;��� � o�Ks <br />, �. <br />APPLiCAiaOhl for <br />PU�L�C Vi/ORKS PERNiII" <br />PUSLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 425 - 7_57-8810 <br />Y � �U `� `aC v �}� <br />�� ��� e � <br />Date � d�� � ��-� �� <br />Applicant Name: _��J`��` � Cv`�' �'""��' � c�'I-�`o�+.-� <br />Maiiing Address: � � �� �� S� S� <br />�-Qr P-�, � �- /�t ��1�-Q� � � <br />'�'z�'-Z � 3— �v � o �v S <br />Phone Number: <br />��e'�� -��;�;��es � <br />� c� ��%i��� eS_ <br />(A drawing or plans may be needed to illustrate work to be done) <br />Sifie Acfdress: L � � � <br />c.�, (� -���. <br />R/'.� �, v�!,� <br />, <br />,�� � <br />2�,: >� � ,�.�� , <br />� <br />Comments #rom Inspector during initial inspecfion: �� ��'— Zl — 1 1 <br />/���1C? ���s �' /��-y�' C:cc1��"' � ��C' � �✓?�✓D�3�DS <br />F�- d��7T��v�Tl�i1�' `� � ��L���� �f�f/�� �o Gf��-�1�5 <br />Approved �or issuance by: L�afe: <br />