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Owner Name: <br />Mailing Addres,s <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 />' �� G���'� ` � / C �% Applicant Name: <br />��/ � -Zhf�j l % �`'/ �7`//C� Mailing Address: <br />�v�c �Q �f �;- <br />Phone Number: <br />Date <br />�4J <br />� � <br />��, � , �. <br />�-- <br />S-S -/O <br />�(� ( � ( <br />_ ; � � ('.� , :� 11 ,'! I!i j �� " � <br />--7' <br />v, � , <br />Z�� — r'r7= -=�-Si �- <br />Description oi� Work: �/'�1'�h C,�iST/�� ��'/�/C�w�S! �� �L� �. <br />(A drawing or plans may be needed to illustrate work to be done) <br />Site Address: <br />Comments from Inspector during initial inspection: <br />— !'C�f�'a C �`�..� l�-� �CS � l�iC��' % ��rJ�� �`� �l� �j ���G G�%C�/�'�S <br />f �i �.S'�GIC � r� Dy`? �-)!r �" G�J��/� ��/lli�%�� ;' �f.�'� • <br />—�G�P Cr 9�� S/�/'�G�:'�� C�PQ ✓� !'r 7� Q Gr� 74� !'�P�' <br />� <br />— �'-(��c��� GU��r i � //� �/�C�i �S !'X�e a'�� c� <br />7��/� <br />1����� ���� i���:�'-,-,�_< <br />,-%%�!�'� l=� �;J � � �` % � �'/S%//�/� �-��-� L�� �Si%�1?�j /�1�1� <br />Approved for issuance by: Date: <br />