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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 />Owner Name: R l�� � Applicant Name: <br />Mailing Address: (6 (/ �YPt��" ��' Mailing Address: <br />Ever-�}- t,v q <br />Phone Number: N� Phone Number: <br />Dpte � — ( Z — � z <br />FJr� o�r-t � )C t9 �l <br />Z151 ��our J� e.w }, J� C <br />Sk,�-� Z000 ��� wf� `t � i �Z <br />zo6 -K36 � s� Z Z <br />Description of Work: (� ��t.te_ � S�; � bo�1 Q S �i; }-�,i� .��e � <br />� <br />��'�.� �!� �D41. Le���ons ��t �Rcp- v�c�.��`� <br />� �` ,���� ��-il;-I�es w�iJ �� c��r� w�� �,� kn�-�� <br />(A <br />ng or pians may be needed fo iilustrate work to be done) <br />Site Address: �7�3 �O 1 by <br />Rv� , � �1ese�` w �l <br />Comments from Inspector during tnitial inspection: <br />al N�4.�v1 ��' �'�t V`G Ct-Y�l.' G� <br />-� � �ne.//!J <br />�a s y✓�'' <br />Approved for issuance by: Date: <br />— � <br />