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. 11/13/2009 17'43 'FAX � 425 257i 'ST EVERETT PERMIT SERVICES - �002/002 <br /> APPLICATION for <br /> PUBLIC WORKS PERMIT <br /> PUBLIC WORKS DEPARTMEM' <br /> � 3200 Cedar Street � <br /> Everett, WA 98201 425-257-8810 �� � <br /> Date ( ( <br /> r t� v v n r C p�� <br /> Owner Name: C.A�••r+�•+: � «-��` �u�•eAppllcont Name:�� A 6�r� C� ..s-F r v e��o� <br /> Molling Addren; R b b°7 �v t r e• r. C� �"�.�Mailing Adtlress: � � D g ) 5—�1'i y 4 Sv:�'�'/� <br /> S� CIU � <br /> �✓trt � .WA `i8 •Lo8 S�ea-I-}-��C+ w�► �t grs�_ ��us <br /> Phone Number �ZS='7 g'�`}—3 7 e+ (7 Phona Number. :Z p 6— � 6: 7 � SS� O <br /> Ce.�� 'LU6 - �► �7 ' S.S'o O <br /> Descripllon of Wo�k: � -t n G �- R � W T r' �' •'`^ �c D a �n � `c '�" � <br /> htl � � ,-�^ L . ` C . `17 :�S� r ✓ CT •' Qt-. U�-� <br /> l�Y'Y� A� ' �A�r �<SS}� Y`�A.�� A� nwc9 � `J "' <br /> �A drowing ar plans may be ne ed to illustrofe Work to be do � <br /> L�( p <br /> SNe Address: � �"f � ll Y� 0 c: � ���� u_ • <br /> � <br /> Comments tram Inspeclor d�ring InHial Inspectlon: <br /> i� •, <br /> — y�f��C� �/o ��.-iE�: :� S,S•>s � << lv;�J ;�:,,,�, <br /> �, � <br /> )-lcci„� �f,' �4 S7: <br /> �� CCi7-i.STv'vL'� ��:.�rJS 2� S/�c:. L✓�. �� �o ��c ( i �i"�G 1` <br /> ,��.'L��'1T,l�'r�Q.�.� ���/�<-'JJ <tYr.'r� Q�fis+� ���`� �� <br /> Q (/ <br /> Approved for lesuanee by� Dpta: <br /> � ?! / <br />