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/ � , � , � � <br /> '�' '� APPLICATION for <br /> ��y= PUBLIC WORKS PERMIT <br /> PUBLIC WORKS DEPARTM[NT <br /> �`�`'• , EY ETT 3200 Cedar StreeC <br /> �'' Everett, WA 98201 425 • 7_57-SB10 <br /> • Da1e � >J 2� �� <br /> Owner Name: � V v � � n�AP��ant Name: O <br /> fvlailing Address: I yI S /J n'U �� � iliM1e�Address: O <br /> .�' U �l �2D I _ ��ry �l� <br /> ry �o2SY r�'� �L <br /> Phone Number: ���— � Phone Number. � <br /> � �1�4-1 L ��U L G m. ���Y'i�v ,L,9/�- �A l'p <br /> Description of Work: �/T V � �7 , <br /> LJ4-N � SL��� �'9 <br /> (A drawing or plans may be needed to illuslrate work 10 be doneJ <br /> Site Address: i� � � �!/ �� � ^' ��/ <br /> Cummenls trom Inspector durinc�initial inspection: � <br /> � O��►�' 1��� a�- <br /> ���, �!S ' "� <br /> � r h� � � � ��h� . <br /> � ' S �CrG���� <br /> ��.v<h�' ���s �� D�� . <br /> �������� � �� , � j � <br /> C�' � � ���� <br /> ,.� <br /> Approved for issuance by: �ate: � ' <br />