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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 />Date: �- � � � I � 11 <br />Owner Name: �'�`��'��� ���UyF��,l Applicant Name: �l �� <br />ti� <br />Mailing Address: �.. �:' ��Gc��ti�-1 Mailing Address: �v�,7 `�l � �I <br />'�(e�r�� ; ����-� ���.�l;l �l�i''�� � �,�1/N �'l�'.�V` <br />Email Address: j�paaia�'1U�i1,'k � i�,'��1vC .CGG��f Email Address �,����;J� �� � �it�^��c�.�� li�� <br />��� � � <br />Phone Number: �J...h �7 ?�� -? 41-U Phone Number: I���r '?� l�( — l ��.L <br />Contact for Permit (Name/Phone/Email): �"(�ki,iy I��:;��y (_-�t <br />� ;i� _ ;-, � _ 11 `,�;�.. I� G�``� U`=T �-' h��� <br />Description of Work: -�i� <br />� <br />�� -'�,����. �,�1� �,»,� <br />CC <br />:, c �� � =V',, <br />LJ <br />^ '�J � `..J ' . ,� - ' � ................. <br />Y OF E <br />��L�C I� 1,�,�a'. C%�1'i�i,U��il-��� ......�.IT kS VERlE�'`.�.,r <br />(A drawing or plans may be needed to illustrate work to be done) Public Wor <br />� <br />� "� <br />Site Address: � � ����1��� V�,l� �� �� � �,• � ����� `� G ,- ��} <br />Comments from Inspector during initial inspe t on: <br />�� �, -�-�'Vl C � i � �U �Y11 ��-�c � � <br />t� �-��t : �� i;�r�r�a�i � I� <br />�v� �,i`E� IU�n J �'�'�' u,i�e.s <br />� �� <br />c� �� <br />� ��.�'"�� I•-� �.sl�,._1� !.-���-- <br />��� <br />���r CV� ��I�su <br />� � 1 �`I� �i fi` � 4,' ��. �i �:'. � A <br />��C.'1'I'�'.I� s��'t'`�li'�_� ..� <br />� <br />G QC,�:i4 <br />�'. IM G� �( I IM vL ✓V L �,l�l G��� �� <br />-�-� I <br />� � �:-h � �--� G s ����� �,�,,,� <br />Y`�,U��'`) �� -� ��)Gtn��i✓� ����. <br />� �-kS C��- Z-� f �`� <br />_ �� � <br />�� <br />Date: <br />