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�;�� <br />�� ��� <br />� � � <br />Owner Name: J'�� �:�-�?J� <br />Application for <br />Public Works Permit <br />Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 425-257-8810 <br />Date: �I o ��5� <br />Applicant Name: ��R������� <br />Mailing Address: "��' �lp ��'�<i �J� r���� ��='S Mailing Address: ��� �ip �v��`1 �VE �MI� -�-�.j <br />� �%��� �� Gti' �l �� �"2�: l <br />Email Address: <br />�1J��--��T`r� �'i � S' � ( <br />Email Address: <br />Phone Number: �1�� "Z`�� � iz� Phone Number: <br />Contact for Permit (Name/Phone/Email): au��� ��-b �� ��4'`ti�� ZS ZS 2-��Z (�:'��sc�-A�,��S <br />� � ��4.�ih�, � L'1�'I <br />DescriptionofWork: ('�.�ftr��C-� lz;��l��, �.`��-r1C-�-���'_2��:�, �=k'_�b`�l A�L�I <br />vA `� �� P�? P.?v �� <br />(A drawing or plans may be needed to illustrate work to be done) <br />Site Address: � tZc� � �� N � .f���\ _ � <br />Comments from Inspector during initial inspection: <br />Approved for issuance by: Date: <br />