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APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMEtJT <br />3200 Cedar Street <br />Everelt, WA 98201 425 - 257-8810 <br />Owner Name: !'��/�� �nA-N Applicant Name: <br />Mailing Addresr. ��i(� �� :L)I`7!L-� L�/ ��/_ ��/� Mailiny Address: <br />� r � <br />(� :� ���' �.�L�/Y/ / �/�D�i <br />f// � <br />Phone Number: �",�S ��S f i Jj�� Phone Number: <br />Description of Work: <br />Site Address: <br />Dafe <br />� �� ��_.� <br />1A drawing or plans may be needed to illustrale work 10 be done) <br />_� <br />C> � �t <br />CommPnts from Inspector durfng Initial Inspection: <br />Approved for �ssuance by: <br />� <br />Date: <br />