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�!� �5�f- eo � <br /> Applicafion for <br /> ,rr ;..., . 'k;:�r. <br /> _.�,:�. :,.,, Public Works Perrr�it <br /> ;�� ` : ,� � Public Works Department <br /> ''�, ' ��' ��'=. ;- 3200 Cedar Street <br /> Everett, WA 98201 425-257-8810 <br /> Date: <br /> Owner Narne: � - -�n�,��r �".�1;=;����:c. Applicant Name: :.; �>� -. �:�,�- �„� ��:1�-��.�5. <br /> �r�-� -r --i-�/'"���� S L":� �' JC,y ��i j� i���. i iAJ i]�� �� <br /> Mailing Address: � - � - Mailing Address: <br /> ?=�, `- - - ✓i° �,,.;, _.�I�:��cr', �_,,,r_'. ;.��u� <br /> . ��"� <br /> Email Address: '��'�� hl�NNG�J�' �tiU= �,,l.�U- Email Address: � ' 'sG-���n4c� �,�, I�,,.<-, �s _.��^-1 <br /> CT� T <br /> Phone Number: � � ' � �' 4 -�" ' '� Phone Number: -' � `��� � `'_'� � <br /> Contact for Permit (Name/Phone/Email): f � > ( <br /> / I 7 ` <br /> � J l,..J 1.�.�',,..J �l G. � �y(,�� l `i � .) �-'_ <br /> �. � �.:•�C.�,l � �=.[l.}I(•s,'��°.,:i '.S c"C;'-r <br /> - , � c ' � � <br /> Description of Work: � � ° � ' � :",�, � � >c-(-� :����-�.r�..s,��=:���t� ,; ,:.���w <br /> , � . <br /> .�_}�.r�;4 �-�. . <br /> (A drawing or plans may be needed to illustrate worl<to be done) <br /> ,��� .�% .: ...... <br /> l.� � '"" _ <br /> Site Address: � � ' — �? ?`; � ' � 1: <br /> Comments from Inspector during initial inspection: <br /> Approved for issuance by: Date: <br />