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From: Brandun Gillin Fax: (435) 212-1785 <br />� <br />� _� <br />,�`' ��: �" ;�" <br />To: +14252578�57 Fax: +1425?573557 Page 2 of 3^0/21/2013 321 <br />��]�IfCa$ICMC1 �0�1" <br />P'uE�l�c Works Permif <br />Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 425-257-8810 <br />Date: d� �� � �-� �J� <br />Owner Name: -VYakc'o� `�-'�l�l�ti Appiicant Name: ��� <br />Mailing Address: �`� �� �ar s� ' Mailing Address: <br />����r�- � t,l/ f� �' � L d J <br />Email Address: �I�a'�d�u � 9��-�t5`����Err�ail Address: <br />Phone Number: ���—"� f Z— 337D <br />Cantact for Permit (NameJPhane/Email): ��'l <br />P�tone Number: <br />Deseription of Work: f- �o�e. �Z.x(S�th9 I�D i'-{'�t— 2kC,� ��jr1C�2- Gi a S.e�' �'6 (�4 a t,� �2Y��' S'�. ) <br />J <br />� F�.��.� c � �.�, --� I� �.. `� ��-�- -�-a r� �-aud . r'`s�z.-� a-�--� �� v���, <br />-- -- ------ -- -- - <br />(A drawing or plans may be needed to ilfustrate work to be done) <br />5ite Address: 2 � � ! �i ���� � � ��% �{ZFi� I �� � }��' � <br />Comments from Inspector during initia) inspectian: <br />Approved for issu�nce by: <br />r� - (�z�) 25�— 8�57 <br />Date: <br />