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Owner Name: <br />Mailing Address: <br />Email 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 />Date: ( ' 13 <br />Applicant Name:`" 4 � -�W".s oi S Cal, <br />Mailing Address: 101 r—ASA MMOYe- <br />Email Address: <br />Phone Number: <br />Contact for Permit (Name/Phone/Email): <br />Description of Work: 96mooe 52'. L Z-owe. Wr+t - S; QtC U <br />0 pt k <br />5 :FF— PlV Gf-f URIC-W i k. L <br />(A drawing or plans may be needed to illu rate work to be done) <br />Site Address: l D N. ? laSV VV P,Q2- ri { 0 i <br />Comments from Inspector during initial inspection: <br />Approved for issuance by: Date: <br />