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Owner Name: <br />APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 425 - 257-8810 <br />�-- <br />�r�!/D'� u.c� (S r�.ri� Applicant Name: <br />Mailing Address: %%�G� ��t�,/ � Mailing Address: <br />�✓u� f�- wr� 9f�a3 <br />Date �p ��0' �� <br />i // <br />t <br />Phone Number: �/7 5 y�' —�Q�� Phone Number: s,�/i%F <br />� <br />Description of Work: K l.�vrn,''rt.a /rr�H �I� �fGGi i�L. To �T�/'/Y1 <br />1�I'o�; n, /l���r �a f�t� 6 �r,ec � <br />(A drawing or plans may be needed to illustrate work to be done) <br />Site Address: ���7 �.c s' �/ ,Sf �t/�lC / ,� (�/� <br />Comments from Inspector during initial inspection: <br />' <br />: � �� �, � � � �_� '''/; �L, � _ � � <br />� .�..� � � <br />�� � � <br />r�,� �T.� ���� � p %:��� �__�"� <br />�''t- : . ' '" ,"s'i l,.qt_. ---� 1 <br />a 4 _`...',, ;� i` g__ .._' �` S"..e IW ; 4 <br />�_�a.i .�„`� f_ i il I_�,,,.,_.`.7�; ! �! j C`; S�>-�1 <br />Approved for issuance by: Date: <br />