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, <br />� <br />� °�� , � � � - � � � <br />APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 425 -- 257-8810 <br />� <br />Date �/��/, 2�/, Zu i3 <br />Owner Name: /� �'i3Ls�2T �� /�2IC4S°' Applicant Name: � C��� �T �l� �-��PL- <br />1J5� C�� y/ �/-�L` 1.3� ��-� _ < '" 1 <br />Mailing Address: % Mailing Address: � J <br />—. , <br />L%j/�7?� �TT, L�,�'�. 9k ' a 3 �' \;� �' �� L � i �' +:J� > <br />Phone Number: J/2S"- 3%'7- �/Z� Phone Number: ,���, � 1 �--I �S� <br />Description of Work: %� T%•'�C�/ �J�/�� ��� ,2�%rfv%� ��� �-r-� � /� 2r�irV' �1� ����r � i6 � ' ��, ;�, <br />�� , , <br />S�J2�=�C� Lv6=�TG'�-'' �1�A%�✓ �L��CI <br />(A drawing or plans may be needed to illustrate work to be done) <br />Site Address: ��G'� � � %h�i� i3L ��>, <br />Comments from Inspector during initial inspection: <br />,, �J��, c� ���� 5 / <br />'V G lJ .3 � � � Ct/«2 <br />- ' � �'` _� ��.yprr,. r r� <br />�� <br />Approved for issuance by: <br />Date: <br />� <br />�� <br />� <br />•l3 <br />