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.;_. �c_ ��. <br />� ��`. <br />� ���'��'� .�.., <br />Application for <br />Public Works Permit <br />Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 425-257-8810 <br />Date: � " �� � <br />Owner Name: �� V ���� �- �� ��1 t Applicant Name: �L� ��'� �F1 � KL..�'�-1 C- <br />Mailing Address: �� � � �-c� � 5 � y <br />�1,�� ��;�a- ����Z�( <br />Email Address: � �� <br />Phone Number: ��25 �� � � "-� �� � �� <br />Mailing Address: ��'� � <br />Email Address: �,�� <br />Phone Number: `,�l�"V"� i <br />Contactfor Permit (Name/Phone/Email): f�=� M�(�:i�-c-��-�t: �z� ��� -��% i� <br />Description of Work: t�l'►�1 D 4� � <br />�1 r�ll> ;'� �n � ��L���= f .5��- �,� S_ <br />� le� (7L li��'-�i ti �: 1 <br />(A drawing or plans may be needed to illustrate work to be done) <br />Site Address: 2-�� y" ` i�- r�-�-v�`�� L�-lL��'-E--��`( Lt.%P�- (� ���' � <br />Comments from Inspector during initial inspection: <br />+� ` ` ` , -- , <br />s �� � � ,'' ��.� � �1r! , <br />� � ��J �,� �.r �--� � � � �, <br />� 4 <br />� ��� � � <br />; ' ; i 1 �' <br />�; � � ' ,' �� �,� ; �,1 , �_:.. :::.-' � <br />, ;. <br />a �', a , � -.. � ; � <br />; �a;,�,,. _ i <br />a..__. ___..�..,._. :._ <br />Approved for issuance by: Date: <br />L i. <br />