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r <br />-- - ----------- --- -- -- - -- <br />APPL�CATION for <br />PUBlIC WORKS PERMII' <br />PUBUC WOi2KS D�PAR1'MEN7 <br />3200 Cedar �reet <br />Evet'ett, WA 98201 a25- z57-8810 <br />Owner Nume: .,���/Yl 1��a'�� � Appliccmi Ndme: <br />M�nng nadress: i� So 1� <br />Phone Nvmber: <br />�-i�i�1 �.1� <br />� ���: <br />� � ���� <br />,� <br />, <br />' Phone Number: <br />uaro �-- � - 1 Z- <br />,�,-2-►-� <br />,�r� c Zu.�e��,, <br />13ao t i2�'" �,�, N� Sw� -'� <br />$�i ,►ut, (� 48c�oy <br />�{ 2S- NSs� q o�,S <br />o���,On �w�: �4Q��x� �,a�Ry -r-��� sa, t ��:�Q� �: (1 I� � ��d ,ti <br />-�c ad:4.�� �as+-e@� �.1�.� ,n�,c�- � -+�c o�-s�� <br />t�'cl�in �t be.+� t�.,��' ix �aclo� �� � s��ru.�Q�k �, .t�c /U�. <br />(A rawing or pians rnay be n�sded to �lustr e work t�% be dPne) <br />�[�ew � �tRAK S�o�...l etit e�A t� cs�e Vl A�0.Ql'RM�1, <br />�a A�.�,: Z'123 -- 2�_3 3 C�.1 b� ,�,,� .�,k.2 �{ <br />Commanfs hom Intpacta� duriny inliia! kupec!lan: <br />Approve�! far fuuance by <br />� <br />�a <br />- - ^--r- � � -- � -- - -��r- Dale: �l � � � d \ l� � b�� <br />G� <br />� C`,t�t�v�.,r �.'�C�� <br />• �� ���� <br />�v <br />