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Owner Name: <br />APPLTCA'TION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 .425 -= 257-8810 <br />Date + � /�� % �:, � z. <br />���2 �r ��Nr�r-r:� �2 Applicant Name: �F 2rc � r�.,, ���� � <br />Mailing Address: `�7/7 E,����w��( 1,J/�y <br />�V � �.E7 i . W,� % nC-� �- <br />Phone Number. ���- 2�u - 5aou <br />Mailing Address: <br />Phone Number: qz j- Z�I �-�Z/ Y <br />Description of VVork: C.«�� �� �; �.�� �,; �{�.�, ��y �� -�, ,� <br />(A drawing or plans may be needed to illustrate work to be done) <br />Site Address: �%��� % � t/�t�� �� w`� °-f � �� t.-'� �� � (,1�� �l �'��.c� � <br />Comments fromi Inspector during initial inspection: <br />Approved for issvance by: Date: <br />