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��� <br />��°,�� �' <br />Application for <br />Public VVorks Permit <br />Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 425-257-8810 <br />Date: � � Z � � <br />Owner Name: I'D/L���'i'�I jU INC.�I� �I� Applicant Name: �� � L�-'� <br />Mailing Address: �t���l ��C�C:��� <br />�� 6���' ��IJJ ` <br />Mailing Address: `�CzV?'�L_ <br />Email Address: 1�"�ti�i...c��(�C����� � A d ess: .-�C`�'ti��-- <br />Phone Number: ~► 2�' �7�" � J �� Phone Number: ���� �1 C� ��� �� <br />Contact foi- Permit (Name/Phone/Email): � 1�.�.� ��.�(��? �- �/ 1S 1j� %- ��0 J <br />� �c{-7r v;� �� � ;��r; �% �� �;►�����e<<�t . ,f� ��- <br />Description of Work: � �"� � JCJL-�1�..�-'�i 1"1.,7-�T� <br />�. �^1 1 �' �� <br />{A drawing or plans may be needed to illustrate work to be done) <br />Site Address: � <br />Comments from Inspector during initial insp <br />.,`y ;� ', <br />Y�+ ��;i L�'�, `, _ � <br />kE , �D _. . , _. : , ` <br />k� < � ; f �y <br />Approved for issuance by: �� ��� ;, i,j T�� �.� D��e� <br />. .�, t t; i <br />,_.,. , ... ,�% F <br />9 <br />�.,���� �I° 3,i. �..�, _�'.r._"�_,� � <br />�..,�m ���Ita B � �6� � ..._.�. �._�. ..�_.�.�........_.� <br />c <br />