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Application for <br />Public Works Perr�nit <br />Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 425-257-8810 <br />Dafe: <br />Owner Name: � -��-- � � �� �� ' - Applicant Name: � � �2-�-� l �.�1�-� <br />Mailing Address: 1�� G y }� �?c, ��� v�3��ailing Address: <br />=��r r r� L T ( <br />� � � iL , �C`yv� <br />Email Address: ��z �1-A-� ! C�� ��L� Email Address: <br />Phone Number: ��Z� -�L� �i�4 � Phone Number: <br />Coniact r'or Pei�mii (fVame/Phone/Email); ���-� �Z. <br />Description of Work: �1.."l� L-L <br />(A drawing or plans may be needed to illustrate work to be done) <br />Site Address: ���� Z �� ���� v��� �.�I ��'� 1� � 3�- ��, 7 c,'- � <br />Comments from Inspector during initial inspection: <br />; , � � i r�.� � � a., � ; , i 3=. <br />�� �� 1 � ,�., �`rt <br />,I E t� � � r 3 �."r � . �k � '_) � <br />%{ _..�'i , j <br />�C �.• 'y � r <br />: <br />.,j. � <br />� �� � k `�� � � c�,'. ,�` , " <br />Approved for issuance by: ;______._. � . '_`,', � .`. '. _ :- ..�.-v Date: <br />