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.,� <br />� <br />,.. <br />". ���t'��= �'�' <br />�L <br />Application for <br />Public Works Per�ni� <br />Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 425-257-8810 <br />Date: <br />Owner Name: �����5 �%'��'`'��� pplicant Name: S� �+�� <br />Mailing Address: 7-Z-� 5 v rH 5� 5�-% <br />� ' <br />i= v t�('., �-tT � �.;� A `7 � Z � "� <br />Mailing Address: <br />Email Address: C-°`�'=wf�� i�,�-�r' ��iz+�2,��Email Address: <br />Phone Number: YZS ���1 �,��(c� Phone Number: <br />Contact for Permit (Name/Phone/Email): <br />Description of Work: N�=i.� �ul�'CY'� �z 7-c:� �'sii A�►��_(� i C- A►'�c,iz4� S(-� AN t) <br />�� S t-} � w� � N O �.1 ��' (a-�� � r� t�- q�_:1 c��� iv � i- X I S T 1 1V C.�- � 2� � 2�,t;/� y� . <br />(A drawing or plans may be needed to illustrate work to be done) <br />SiteAddress: �Zv `jUT+-* S� 5w ;��1��2� T L^%a �� �-<:.� <br />Comrnents from Inspector during initial inspection: <br />.» � <br />�.Y,,.� ... t ` �� ��, 3 1 � :. <br />jp -�-' �r' �� .,� ! �� ( <br />�` �i 9 <br />� « � � <br />� ,� : <br />� � �.-.. <br />'� � 1.w-,,.� ; <br />�� ` # <br />C! � `� �� �.� � <br />P�rt�'��� `..���= <br />Approved for issuance by: Date: <br />