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�, <br />3. �� k�,;,. <br />� �, _ <br />.;;;;, <br />;�:�.; <br />,� <br />r. <br />owner Name: ��,���� ����«j�' <br />Mailing Address: % 7l I �� �c-r %�l/� <br />Application for <br />Public Works Permit <br />Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 425-257-8810 <br />Date: <br />Applicant Name: ���;�i� <br />Mailing Address: <br />Email Address: ��7r�ca�,�� �� 7�� Email Address; <br />� G����t l, c� <� � <br />Phone Number: �'%Z J`^—GI %/ '-/ �/ �; Phone Number: <br />Contact for Permit (Name/Phone/Email): <br />Description of Work: <br />(A drawing or plans may be needed to illustrate work to be done) <br />�--, <br />Site Address: ���� �,��'�L-� 2' � <br />r <br />Comments from Inspector during initial inspection: <br />S� �; }��.iaod <br />1.�.JCJ�/\:7 �\./ �.1���J <br />�L�7, � � ��:�:i <br />�_� �::.m:�..��....._Ta._._._.,...4.. <br />�� _r� � �� .: � �:;� i <br />� ��� <br />� .JUN i � �L01`� <br />CI�tY a�� E VE��� T <br />Approved for issuance by: Date: <br />