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r <br />�#���'T'� <br />Owner Narrie:� E�SS� WOF���cY�l <br />MailingAddress: (��� z �t�(/�'r��-{ ����E'- <br />� k� �' V���� w� � u r�o S <br />�. - <br />� � i �l�- C� �� <br />Appliea�ion �or <br />Public Works Perr�nit <br />Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 425-257-8810 <br />Date: ( Z" 5 -1 `-� <br />Applicant Name: Yc����r� �C��_ ��— <br />Mailing Address: �� ��k � � �' <br />G ��� -t-�- �.,� � �� � �� > <br />Email Address:J PSS� , 1�.��d�r� Z��-���,1 Email Address: ����ac f� �ur�%_ �C��r.G.LL . c ���^.� <br />Phone Number:� `�7�� ���; <<<� I Phone Number:�uZS � Z5�' � 3�`�`� <br />< � �F �' �� v�� <br />Contact foi� Permit (Name/Phone/Email):� � 1 <br />Description of Work: <br />�or� <br />�in.�, lO(�'�J`�L�n, <br />a <br />�-'` -Fd� ��¢<,1 M���� ; �,�,,n �, <br />(A drawing or plans may be needed to illustrate work to be done) <br />Site Address: <br />�l z 1 � �'Z vc�cc� ��,;x' � Uec�.� �J �� `� v u�3 <br />Comments from inspector during initial inspection: <br />Approved for issuance by: Date: <br />