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Owner Name <br />Mailing Address <br />Phone Number: <br />APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 425 •- 257-8810 <br />�� I�;��'� ���� �%��1 i��l �� Applicant Name: <br />�� <br />� �� � ��(�9� � �� � � Mailing Address: <br />� � <br />`�1`��; I%��i �� �I �:�� <br />��--2�� - ��� - l� ?�� <br />Description of Work: <br />Phone Number: <br />Date 2�� �� � 2 <br />(A drawing or plans may be needed to illustrate work to be done) <br />Site Address: �L�✓� <br />Comments from Inspector during initial inspection: <br />��� -f --�- �v��.� q � �� l <br />Approved for issuance by: Date: <br />