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1111111 <br /> APPLICATION for �4G <br /> xz PUBLIC WORKS PERMIT '-.r <br /> PUBLIC WORKS DEPARTMENT <br /> ,fir<, •ETT <br /> 3200 Cedar Street <br /> Everett, WA 98201 425.. 257-8810 41liarro <br /> Date LO/ ( /S <br /> Owner Name: .76‘-1(\n U" `e` OI OL ,Applicant Name: 1(+to'i 52 U�/1C--( 41/(1( <br /> I2_ A.) E,S-at a"` EA) <br /> in 7(Qy G,ile <br /> MailingAddress: i Maiiin ddress: <br /> 'RA WW1/ \AM- ?(?/63 41 N M- -• <br /> Phone Number: _S---O 9 Phone Number: 22_ U_ <br /> Description of Work: Cif} ut\di, , <br /> (A drawing or plans may be needed to illustrate work to be done) <br /> Site Address: 3b1�- — / � Jj-� V"A U GCS l <br /> Comments from Inspector during initial inspection: <br /> Approved for issuance by: Date: <br />