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=, <br />� <br />APPLICATION for <br />PUBLIC WOFtKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 (425) 257-8810 <br />Owner Name: _�� c� a v� �/�,1+1,4.�, �,�`� <br />Mailingaddress:_�� `f � 13E=EG,�, j <br />F_'VI?;eG.��%, Lc%Q �/S(alJ� <br />Phone numb�� � S") ;� 5 S'- %�% 7 <br />Date o�8 O/ <br />Applicants Name: � Sa y-„ e_ <br />Mailing address: <br />Phone number. <br />Descrlptlon of Work: _ 7i-�s�4 /C L� n�1s���o�/n ��uGLi G 2d C�J <br />SiteAdd�s: �� E, /�eecti S7`. <br />from InspeMor du►ing IniGal Inapecdon: <br />�� �. , ,� �� <br />1 <br />Approved for Issuance by: <br />1Jo�e a ba•�f- -�'�+�,�, <br />w�^ p� o-„�,.....,.�.�e- <br />. <br />,"101,�% f GJ�G•-t.Ju �•� 'n'i41 = <br />-� � u'.s� �=• L� cl o�.c� L�?' -�,--f -- <br />I �/ 1 <br />—;%�,.a.,,;` �.�t ��� d i � f.�/J 4• �? i` � �� � <br />1 <br />� \ 1 ' <br />�� <br />_ Date <br />