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APPLICATI�ON for <br /> PUBLIC WORKS PERMIT <br /> E77 PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everett, WA 98201 (425)257-8810 <br /> Date a-� O / <br /> /� r ��] ,�( /� <br /> Owner Name: �Yi� ��1/T� �/�/�"��yL Appitcants Name:_✓��v'N �"/��D�ZG xJ'/� <br /> Maflingaddress: �� /� ��9���E �� Mailingaddress: ���� �'Z',�%l/L� <br /> �vflz�-rf �5,v3 �'v�i�T r'�'/7iJ�' <br /> Phone number. Phane number. 5"z./ % �� S— y y � y ` <br /> Descriptlon of Work: _ /_' �� � L �'�c�C �Jt� � ��,� (�,y�D <br /> � <br /> 300 c, � <br /> , <br /> Slte Addrass: ��7 ,9� � fG <br /> Comments from Inepector during Initlal Inspectlon: , <br /> i <br /> � <br /> S � <br /> ai = ' <br /> � i <br /> 0 <br /> 43 s_ <br /> Approved for issuance by: _ Date <br />