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; z <br />�., <br />� <br />;�� <br />s � h '' ; EY ETT <br />��._::.. <br />APPLTCATTON for <br />PUBI.IC WORKS PERNII7' <br />PUBLiC WORKS DEPARTMEhiT <br />3Z00 Cedar Street <br />Everett, WA 9$201 425�- 7_57-88i0 <br />Owner Name: �li�r ��C.VVI�%� <br />Mailing Address: �: (1 , ��x � � •� � <br />� �.��-t�1 e . �vJ� ��3 � I 1 <br />PhoneNumber. �'��p>�7(�j�^3o��� <br />Applicant Name: <br />Mailing Address <br />Phone Number: <br />Date �U����j� <br />V 1C`�r l��l��.lP1ri <br />P.� 0. I�c�x L`7 3�� <br />S Lct�� �. I,t�� `� � 1 t l <br />�(2.53� ��`7-3'�7:�C� <br />Qescription of Work: '�(CLe� ,�2C"J �C�() c�,� b,c v�1.N`c�S o� t� �I d�iY' UTTzIC�'[�c� <br />a, � � ev ic� i.(:� l Q� q� ' �.S PWO� lz— oC�� <br />�"� 4Z -7�-`� <br />��p tY'Cc� n D� C�Yn j�J,��'C i n � I�. t'��v � vv 5' ��LA-iv S <br />{A drawing or plans may be needed to illustrate work to be done� <br />site Address: 23 �3 ,�t��S �k V (� , <br />Commenfs from Inspector during initial inspectian: <br />(��U <br />� ( � °�s Cl,j7�c�`' � Gi <br />' �-u �; , �� i <br />7;; G - � , �. . , <br />1 ��S <br />Approved for issuance by: <br />. <br />Date: <br />