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APPLICATION for <br /> PUBUC WORKS PERMIT <br /> PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everett,WA 98201 (425)257-8810 <br /> Date � S�o3 <br /> Cc�btcb+- <br /> Owner Name: �]t.l��t1���t0 _ O�bs Name: �✓lfG�aC �aG��rA � <br /> Mailing address: <br /> �fjll �i,•Gk�; A6'F. Mailing address: � �"31 �✓��l^� � �� <br /> �✓c,cl� ��+ �ISZG1 `�So38 <br /> Phone number: LlZti� ?gC- �'�CU Phone number. � <br /> Ccr�t�•�ct: N�n� u/ �.�m <br /> DescriptionofWork: Ir1h���I ���"Cti �JAS�� � im�veC�✓��nZ.y: �� �k�/,'2�c�• _ <br /> INITIAL �NSPECTION <br /> Site Addresa: L4''��r'��^�� PAUL McKEE <br /> DATE <br /> � <br /> Comments irom Inspec4or during initial inspection: <br /> Approved for Issuance by: Date <br />