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APPLXCA7ION for <br />PUB1,�C WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 425�• �57-8810 <br />.`� �-4--�,v�-��, + L_�+� i��� t�t.���, � t.;E��� <br />Owner Name; �` Aaplicant�Name: <br />Maiting Address: Mpiling Acidress: <br />Phone Number; Phone Number: <br />Description of Work: <br />Date (� ` 2 ' � `t <br />���� U� <br />�ts �2_ - i�� � t`'r'�• I� � <br />(v1 a���,� s v; I 1� n� f� � Q� Z� 1 <br />L(Z�' 2�sc�� `�t2o �- <br />-� p�ct �' e �� � e � s � c,��' � S f c_.� � t�.�c_� � �� � 3 "7 / C-a <br />r� �2 � c � �c� L ,� � h C (� E'� ►�;;-�- -�c-> <br />(A drawing or Rlans may be nev�i��i to illu�trpte <br />Site Address: � � � � �'� �� � � �`ti� v �`` �v �� <br />CQmm�nts from InspeGtor during Initiql inspection; <br />Approved for issuance by: ppte� <br />�'f � ��� � �� fe l.c� "�C <br />to be done) <br />