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Owner Name: AT&T Mobility <br />Mailing Address: �6221 NE 72nd Way <br />Redmond, WA 98052 <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 />Applicant Name: <br />Mailing Address: <br />Phone Number: <br />'Z� � 'r U„ I 2L:%' g - �G'� <br />Date �-��� � � <br />AT&T c/o Jennifer Taylor <br />7525 SE 24th St #500 <br />Mercer Island, WA 98040 <br />206-228-2127 <br />Description of Work: Extension of existin� utility h-frame in right-of-way to facilitate installation of wireless <br />facility equipment. <br />(A drawing or plans may be needed to illustrate work to be done) <br />Sife Addfess' Right-of-way adjacent to 2020 Lake Heights Dr <br />Comments from Inspector during initial inspection: <br />Approved for issuance by: <br />Date: <br />