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APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 (425) 257-8810 <br />L�hC.P �es,v�i� <br />Owner Name: �V i �G� �/JS�wT�u'1 �a. <br />Mailing address: 3 �t,S l.,$"� ,sf'/�e�'�- <br />�1�'�r'�c if Gvf� -�l ��/-! R� <br />Phone number. _ 4rZ$= 33�- $3£Y� <br />► <br />Date �= ��—a Z. <br />Applicants Name: �`J ���4`l �a�c� <br />k�i�l /1tid�l�yi <br />Mailing address: �� 13y� �Jf�cfS4/ <br />��%ie zGt`%_ �vtr��Wf� <br />Phone number: �{2.,s ?�}/- 38� ��e� <br />Description of Work: ���tk.er�C _/�I�CC� ,$�QaD t�,c !/a�5 ot- 7-��� <br />� <br />�/?S l f"�e 7� l�a.lSe , <br />r�s��r C�c�''s /, <br />'- - <br />1 v� � � <br />� I I � �lorfh s�� <br />Site Address: �oSS f�ue, �yj�r7�1�t. �S � �v.�v�i��./�- <br />Comments from Inspector during initial inspection: <br />Approved for Issuance by: Date <br />