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' APPLICATION for �� �`� <br /> � PUBLIC WORKS PERMIT � ��� �� <br /> PUBLIC WORKS DEPARTM[NT <br /> fY ETT 3200 Cedar Street <br /> Everelt, WA 98201 425- 7_57-8810 <br /> Date 2'� �� <br /> � t Si$y1�rvs,VP <br /> Owner Name: �G�t7 r' N��tn���pllcaM Name: Sd�n'1L' <br /> Mailing Add�ess: �'D�D IOWGV S'� Mailiny Addiess: <br /> ��,yX.P.ff 1/V� �I <br /> Phone Number. � 1{Q Phone Number: <br /> „ �z,�) 2 ?9- 9 3 S�� <br /> Descripiion of Work: �Q�,Z�ffT[,d�1 OF ���AL1.�d .ilf�� v�d,_✓ <br /> Lo1' f�r /0� � oh �rry�r hbf�l sif� <br /> (A drawing or plans may be needed to illusirate work lo be done) <br /> ��� ] � <br /> Site Address: 1�6c (�+f�+`/bt�L��i. ���i� W� �U�' <br /> Comments from hispector during initial�nspection: <br /> Approved for issuance by: Dale: _ <br />