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�#�``,��7'�' <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 />Owner Name: �j� C�n � Applicant Name: t��-c� ��.S�c-G. v�.��., <br />MailingAddress: /L/GjG/ �jl�•� �,�,y <br />/•/'4�a�✓��Gch �'!/J <br />Email Address; <br />Phone Number: ���� �lG� S��lk3 <br />Contact for Permii (Name/Phone/Email): <br />Description of Work: <br />�-vs�e <br />Mailing Address: /�� ��� r � � <br />���,�/� /�� �� ���-�s� <br />Email Address: <br />Phone Number'.��.��� <br />t ��;�� Gt rP, <br />�c.�rx �ri�e <br />(A drawing or plans may be needed to illustrate � rk to be done) <br />Site Address: � � �� � � ���iZ �..%� <br />Comments from Inspector during initial inspection: <br />t � `r �_� __,_ _ <br />�� ' `r"� �,,,���,� �jf+ ._ <br />� , <br />� �j � ��r,L.f�l ,'',°'�� <br />L�—, � s <br />� iM�E��� � � � s <br />: , <br />`•'� G,� ��I� � � ��IJ � �-t�;�, <br />� �-" ,,, d. . s- F;-;t <�-_ ...�.. ;, <br />..��'..e..�'3.'�...�..��.M,....`..,....�..,....... .,.. yr««.,.. <br />Approved for issuance by: Date: <br />� �1 � C-e,� I <br />G{ c,ua <br />