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t <br />........ _.. ._..__....__._._... __....... _..........,._._ ................_ ..............._ ..__....._... . ......_......_............ <br />PGJ(510 -00`� <br />APPLICAiiON f�r <br />PtJBLIC VVORKS PERMTT' <br />PUBLIC WORKS DEPARTMENT <br />3Z00 Cedar Street <br />Everett, WA 98201 425 •- 7_57-8$10 <br />Da�e � • ���' j � <br />� ��� <br />Owner Name: ��'' ►�-�`"��`�uu /��,� qpPlicant Name: _ 5��� <br />Mailing Address: � �C'22 � � r�fl` � �C 'S� Mailing Address: <br />CJGr2i"��77' �.i%� ��SZ�`>� <br />Phone Number; �L� -3`f�1 ���"C� Phone Number: <br />Description of Work: SE`-� ��7 �~��i'y� � <br />(A drawing or plans may be needed to illustrate work to be done) <br />Sife Address: <br />Comments from Inspector during initial inspectfon: <br />Approved for issuance by: Dafe: <br />