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�� <br />�� � y <br />��� .��`�'r�.� �' ��= �s� <br />Owner Name: _,i"�%�SST 1��� <br />,� <br />Mailing Address: 1L �� %'�,t,�=l� ���� <br />��J�;�� �i U-�Fr <br />Email Address: <br />Phone Number: <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 />Applicant Name: �1 S %ii��-rZ� �� <br />Mailing Address: .��Ci/ ��,��,�7.D i4,J�.� <br />� �%�,�' �� G2%�! �b��� � <br />Email Address: !�?�c�J�1Id� ��'��1'�GC7}y� <br />� <br />Phone Number:�l� �3`��"=%,7G'�' ���1� <br />Contact for Permit (Name/Phone/Email): �� �S �aZ> ��y�� <br />Description of Work: <br />G <br />j��z.r c'�' ,� �'F!' �/.r�'_ C/�,. �Y`7vi L i y''F_' ri[i � 1—G ls'c' C' �: �F4 ✓�''7 c'�- <br />� % J��>. Lt,'��i Z�i� <br />(A drawing or plans may be needed to illustrate work to be done) <br />Site Address: �� �-t� �.���v , <br />Comments from Inspector during initial�nspection: <br />;� <br />Approved for issuance by: Date: <br />