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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: (I �`�) f r 7 <br />Applicant Name:" Fae -'-V's A ksa'!'e",F <br />Mailing Address: 101 ;5r SA A(Z;' e <br />Email Address: <br />Phone Number: <br />Contact for Permit (Name/Phone/Email):_ ASV— Z1,F:: 2 (,-5-N—,393b✓( <br />Description of Work: @gerAooe I :Ctn , wl+t - e ; o t- U -F <br />v Pi' <br />rR �Wwv' n <br />(A drawing or plans may be needed to illu rate work to be donee) <br />Site Address: D N �5' EaSV Kgtg, ri e r tV Z �[� tr���� <br />Comments from Inspector during initial inspection: <br />Approved for issuance by: <br />Date: <br />0`7 <br />