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• <br />Owner Name: ��,t i✓� Ol.(. _ <br />���� ��.,�� <br />� � � ./ <br />f�ppiica�tion �c�r <br />Public UVorks Perrnit <br />Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 425-257-8810 <br />Date: g �_ <br />Applicant Name: V,,� )2%,4,ti� <br />Mailing Address: ��3 ��51 O,� ,9►�'C Mailing Address: <br />�YSb'L L � [' � Ll1J�—�l��s�- <br />Email Address: ��NH�,°;t. c���,�i �.��A,�c Email Address: _ <br />. c��y <br />Phone Number�����.: �i - �5"�� Phone Number:_ <br />Contact for Permit (Name/Phone/Email): 1 .� ��,,' <br />Description of Work: _?�,�k ��,i'il �i= �9!�� C[��,'� j�'c'�'.= �A1� <br />(A drawing or plans may be needed to illustrate work to be done) <br />Site Address: ,�zaJ C' � Si �%ia��� /.r%f� �� {��� i <br />Comments from inspector during initial inspection: <br />Approved for issuance by: Date: <br />