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� , � � e ;;: ; :, <br />q S i ! ��. 1! , 1 J � 1 <br />' �� � � j� 7�� i� 7 Li 1dJ �' � j:.� <br />:Si'��� ;� ig� <br />�`.� }.'. !UIV C� ", �_.� I ` � �y <br />,_ �_ �w � <br />�j s __ ; <br />�,�,/, � �.. ' �� � � � _ � � <br />< � :� <br />� ' � i"�, �� , <br />b� � . _ . : .. . . .. �. . � <br />` � <br />�P� � 506 �-03�- <br />Application for <br />Public Works Permit <br />Public Works Department <br />3200 Cedar Street <br />Everett, WA 9$2Q1 425-257-8810 <br />Date: � � 'Z�' I � <br />Owner Name: ��=�:��1C�\ � �UV.U�6�����i� nt Name: ���� E�IS�C�til����-�� <br />� �V(� ,� <br />Mailing Address: ��'O L `-� : �'l�%.t ItR4�iling Address: ���rZ �: �, ��lU�k� 1 -i-� � ���'`� <br />l-� � �--�- . �v� � � � zs�� � ��/ � ���� �- . �� � 1 �''►� 2m�� <br />Email Address: ��` ��9. (�.�_'���-Is �C��mail Address: 4�� ��C1t_A �1.;`(��G�I � CC3 � <br />Phone Number: �-i Z� —�a� �- ��Phone Number: 4Z� ��� -'��4-� <br />Contact for Permit (Name/Phone/Email): '`��51 <br />Description of Work: � <br />� v �-s� �c�2 �- G � s, � <br />.� -�-, _ <br />_ `_��� �_ �' � <br />�5 � � �, ,��. �� � <br />� �.. � � �01 s� c-�e e. <br />`�.�L �s � � �' <br />, s� �� �.-__ �� <br />s� <br />� � � C�_ �v S� �u�. � 0��� � �.. � � `��- � ��� ��-; �� JJ� ��`� {�-� s-� <br />(A drawing or plans may be needed to illustrate work to be done) �� ���, \`� ���-+---� <br />Site Address: �� Q� �, I I I Ukl lT f,0 �`��, <br />Comments from Inspector during initial inspection: <br />��� SC�n� <br />�"' J <br />� <br />,,�`'J Y,� • <br />.a° <br />Approved for issuance by: Date: <br />