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� APPLICATION for <br /> ; <br /> PUBLIC WORKS PERMIT <br /> � PUBLIC WORKS DEPARTMENT ����,y��ic�_��/ <br /> � 3200 Cedar Street I <br /> � Everett, WA 98201 (4250 257-8810 <br /> Date �I • Z4• C� 4- <br /> Owner Name: �A'�� I�_ Applicant Name: bAVIT� b�At,l� I � �M� <br /> MaiiingAddress: ��2I -��-+y AV� 1.�� MailingAddress: �Z�j30 -17 �' A�/�=�,� <br /> CS�.�..�Vv�, k1A `I�Sac�S 1C1����3�- <br /> Phone Number. tt�r, (e37 , 22Cv� Phone Number. C��C.�I, 7?(0� <br /> Description of Work: C.r�l�S�p._7✓L���J, O�r A_��-�lat-�vr�� <br /> �t=�� ���lrL��{�q-� �.la�►c - ��.1 �a_r <br /> ��s�(2� Zo,r�c� c��, ut�J��� � iar� -}��.I�.S, <br /> (A drawing or plans may be needed to illustrate work to be done) <br /> A�T�/a�- `�l"� b�t�l7a1c56 {-I�" �Cbfi 4551G1.G�7 � �� � <br /> . 1 ;� � _. ��.�,���y, <br /> SiteAddress: �� L�1�_K�('j� �'7�' �-,�-y- �� W y'�Y� <br /> Comments from inspector durfng inittal Inspection: <br /> Approved for issuance by: Date: <br />