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�i��' �/n2Kc c./1Q4L �p2s�,.;2`' �htZ�w.- t�oi-. <br /> . s�a�r� <br /> ' APPLICATION for � <br /> PUBLIC WORKS PERMIT <br /> ET7 PUBLIC WORKS DFPARTAIENT <br /> 3200 Ccdar Street '' 1 <br /> Everett, WA 9P20i (425)257-8810 �W ��9 ' D/7 <br /> Date 9"�9-G7 <br /> Owner P�ame: �OWiY 1'..N'� Applicants Name:�[►�Gif L,r,1)��ty <br /> PAafling address: I��32 3S* 14u� SC Mailing address: �0Z6 �fhr'L Or <br /> P�el� w� . q�ol Z �w.r,ff wa. arre.3 <br /> Phone number: �?2$"•9NT• ��(Y Phone number: NzS�-f4r -6y3� ' <br /> Description of Work: 1'+�G�H 1 l� aiqGk 6+ t,�y ►� L� t•N�LL, �e <br /> b� yz '' � 6 ' �,� r <br /> Site Address: �4b� �aK�r' {4r� . <br /> Comments from Inapector during Initlal Inspectlon: <br /> �iN�tthl INSPECTiC�s �G�^-� � �,^�'�- C 7 <br /> KIRK RROQKS ��� <br /> �.��� e .-- - --------- `� !1/EGDS � �E � S ��2��h�/441 � <br /> � Fs,-c S/uk1T dc/T o �i✓d�� <br /> ' �-�9� <br /> Approved fcr Issuance by: Date <br /> `j, �•,ce a. C�"y ✓ou� Si�e o.F r'r�jFc� �0 6Q 4 h�a x,.:�u... o�' 4��/�,yl,. <br /> 5 �'n�J PC4cGo� i•-� -fl,e Ci �y /POItJ .qv��e Sv6,f� e�e� � /'¢h-rova� � �'+� � <br /> � QClJ�,'l'I'S c'A'vo'!��<c.' ����7� ��t/ �_�"CY/�ZC'C15 %e CCS� f11if .li�'4 T�r /ylL�h/C!`2'a��/^pOiQ.f �'3 <br /> ( <br />