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....______..........___........._......_...._� ...........� <br />--.. . ......... ...._..__.._ <br />� <br />Owner Name: ��> I 1 � <br />Mailing Acldress: �� 3 Z <br />���L�c,��r�o� ��� <br />p @dCdp��Od �Old■�.� �bwCAA P�� <br />PUBL.IC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everefit, WA 98201 425 �- 7_57-8810 <br />` ' �'`SS � c` G �Applicanf Name <br />� �� ��"` �"`v �- Maiiing AcEciress: <br />17�J- �'-�� t-�-=' � `( �� � J � <br />Phone Number: ZL��- -��� '�� Z- E. Phone Number: <br />�'w ��U��-���� <br />Date � � z I' ( `� <br />L���� L`����5 <br />� �1 3 � � �--�/�-� ��-� <br />�zv �-� �-i t �� `�l � 2� 1 <br />� � �j <br />Z j_ S J;�" -,c, L/ <br />r � ( I <br />1]escription o� Work: �'�%� Gl, l- �-(' ` �r, -� j��, -�(,� O �v� ��`�--�r� S �` � <br />, � (� ir � <br />C�-<��� U� �c�.c�k �i � i%(.�i-�'l-�c ��-t,��c> �-, �'{- <br />� `- `,..:,v C � � F ���' 1 �' � L. ��� , �Y � .. 4 <br />(A drawing or plans may be neecfed to illustrate work to be done} <br />Sife Address: �� � 2 ��j �, k�►'� / � � � <br />Comments from Inspector during inifial inspection: <br />_, ..�' �� . <br />� ��� � • '�- � <L- � �L�'C-�'�<i �- �`-' <br />7c� �.�r±:r��i<_ �� � •-/t ��.�. �-�; c-<'� z clf-,� i_� <br />/ L�� <br />�/l�Li�S c;- %},� �'- li �J7 L 1 /l�- 5% : �-� ��� �5 f � S���i!_'��'C( ( <br />� .[/Z,�G � _ ( �Z � � l i � <br />���� �G1 f2�r�; ��� �`/���_ �� �Ll;S� /X,,,/ fIl.il���l/(.��(�–`%��� <br />i � ��� � <br />Approved tor issuance by: �7afe: <br />