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Owner Name: <br />Mailing Address <br />Phone Number: <br />APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 425 -� 257-8810 <br />' a / _ � / c�, <br />�� j �s <br />i % <br />Date ;: (3;� 2�• c1 <br />�.ri��_ , �I�c,i� APPlicant Name: � i�l-f <br />i`%� �"( C���C `� �.:{.1- c�j't Mailing Address: <br />�� t11'ti��;��. , �"v� ���S-nL � l <br />:��'�- � 3.3� ` 3�13�) Phone Number: <br />Description of Work: d.�3�LE' t� � G��c� s �t% Pv�'-�'�� GEcr �`-�-+�`1��- -{� --;�r-�°:s-�---- <br />� �/� -� <br />� ati_ >s�.�.}1- c'�-F �� °�S <br />(A drawing or plans may be needed to iliustrate work to be done) <br />,, <br />Site Address: /'-�v~1 C '-�i �-�_� ✓;' , L �� 1' � �' ��i' , ��`� ���c:s I <br />Comments from Inspector during initial inspection: <br />/�f / � �� _ � ,,.��'��% �-''� •/��n .;r-'r <c.i .,, ,7/— _/7 � �:��-�' r_'- �:r J SJ :,- � � tJ/ F � �J <br />� ���� ' , i � � . <br />Approved for issuance by: Date: <br />