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�/ <br /> � � w / <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: Applicant Name: <br /> ' J . � <br /> Mailing Address: ^— "~ � pn ° K4aUs in�A�dresc~ �u <br /> Ennei| Addrpso: Email Address: <br /> PhoneNunnber <br /> Phone Number: <br /> Contact for Permit(Nannp/Phone/Ernai|) �cA � <br /> Description of Work: Sx) +L" <br /> (A drawing or plans may be needed to illustrate work to be done) <br /> ) <br /> Comments from Inspector during initial inspection: <br /> Approved for issuance by: Dote: <br />