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�g.�� <br />��=`�8��'�`�' <br />Application for <br />Public Works Permit <br />Public Works Department <br />3200 Cedar Street <br />Everett, WA 9$201 425-257-8810 <br />Date: � ' _!._ � � v�� <br />Owner Name:.��1U.k ;��1 U� �����(;����i �� Applicant Name: ��1{,U�;;L"� � d i� � C�:l11.:`j <br />Mailing Address: �O�l�� L��L�.t�t � <br />��, <br />Email Address: 1i���Z,��.S���S�G Jl,�c�,u <br />� <br />Phone Number: y�:-� °�;�1 • ('�(,��1 `� <br />Mailing Address: ,'�r.�U`'� <br />Email Address: <br />Phone Number <br />n <br />Contact for Permit (Name/Phone/Email): :J �'\(�`Z;�,1 �,�r� �� C,X`�l,S <br />Description of Work: 'li..c,� c��l�-%f�� �"1�^�.-�' .5 C� �`���:r?S <br />(A drawing or plans may be needed to illustrate work to be done) <br />Site Address: � ���v �Ll,Cki'�C ��., �;�;�,i�1 ��,� 1�,,,�.(� `� v� � <br />Comments from Inspector during initial inspection: <br />Approved for issuance by: Date: <br />