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Owner Name <br />A�PLICAT'ION f�r <br />PIJ�LIC V!/ORKS PE�i�ia`fi <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar`Street <br />Everett, WA 98201 425 -�� 257-8810 <br />����� �vQ�� Applicant Mame: <br />Mailing Address: 1 I� Z���n��,,,����Mailing Address: <br />a-./ 1� _ <br />Phone Number. f-Z('� 6 S(� - C�Z[�� <br />Description of Work: <br />Site Address: <br />� <br />1 n ('a V�'�-i <br />Date <br />�",�,� ���� i � � � ' U C°� �� <br />� <br />� Z - � �'"2d�,(� <br />C--� �- ' � ' �..� <br />r l� <br />� <br />' _ :J►�.. � � <br />Phone Number;� �Z �, � � _. O l'� � � <br />-F <br />� CeLC /l��w�;�,X c�� �/; <br />(A drawing or plans may be needed to illustrate work to be done) <br />�J�-J <br />Comments from Inspector during initial inspection: ' � � <br />%� r f <br />C'_ ��� i C;%� ,i�Ci ! �y�c',rr `- :�c . �,, 't ;�'-�r• ��,f��C �'��L' -t �i)ra_� <br />`_' lfl(, GrQ��I, �� C?'Gh� /.� Jl�vi ,���;%r�'O,�i�� � T/7L�S� T{�CX..S'_ <br />� D2 �'c h� %, � <br />�wvr, : � n � <br />� Cr ���� <br />� � lo .rf� � � �� � o�Q,L is �o �� �/ �: � � <br />,;, : � <br />— G� a�'� rv v�� co v-Q � �.� ��;..r D g 201�� <br />5 � , , 1 <br />� rQ a �C�/ �,/, �; -,C,�,- ��'C , % CC s dr� U � � � � � ���`1 �"(� <br />. ��. � <br />� rG c�. c E C. ` �' �,'''� �=� a <br />y d , <br />� <br />' <br />�^ � ', �i,�� ���. �+�s <br />��� <br />�T , <br />,r <br />— / �%1' �Or,� . , -r- � ; c' r ✓ . "�s-=� -� , �� �G, ��� , �� " �or . .. .. . <br />. t <br />. <br />�i�r. ,r� POSi•�,�- , y,� -�' �l ��� � .� ��,... <br />'� % � ,�'i „ �ti �. <br />� � 1,Q � � f� � � � �. %�c%� � C; ��� ���- e <br />�/ � � . X/o � �!-,�y <br />Approved for issuance by: pp��. <br />/ �O �� / _'�` %�y ��; c�✓ i'� �' / h ��� • <br />/� G �',� <br />�'/lePG4h7'�' Z Cec��^.S 7O/- �l�C'r/ 7�%Q7L /� <br />c' la�� r <br />/,f- reh�GVC'c7� �L�_,� .. ` �/ ' � ' " <br />��.i ir �O C�i;;lf O I"�/�,,��/� � � CGe �� Tor !/7�C�C �v1-, <br />