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� APPLICATION for <br /> PUBLIC WORKS PERMIT �,�,/� <br /> PUBLIC WORKS DEPARTMENT n'D�Z.(y <br /> 3200 Cedar Street �J <br /> Everett,WA 98201 (425)257-8810 n O`� <br /> p <br /> Date 2 D`d D/ <br /> Owner Name: C�i�� L L• �� Applicants Name: ! � <br /> � '��G°�! a�1 u <br /> Mailing address: 170(c (31-oa�c-�C�•1 Mailing address: 5~5� �y�2c�Jr5T� � <br /> ��-�etf , (,cJl4 �'g�-D / �./yl�lt� S'�2U <br /> Phone number. ��S - 3 ( 7 - �D aL 3 Phone number. ��5�7'J/-528� ' <br /> DescripUon of Work: T�'�(.c r' GC Col��rc�- S�C(�� "�c� (Y�a'� pG�"f�G`Gtc, <br /> -toY S �-r> li'S mC�i��t'a-(�d' ��� Cc-;5�, <br /> �v(.�.e.- �'o n S -t�'u c�h m. 0� a rCl/'t.L10 -�ii f�l�Kl <br /> (.�GYL.s,� l��CG iti C-e <br /> Site Address: I-IOI� (3YOCr�vcu� <br /> Comments from Inapector durfng initial inspecUon: <br /> YNITl�4L �NSPEC7�u;. / �/ <br /> KIRK BROQKfo � <br /> Dwi e � � �� --- . <br /> Approved for Issuance by: Date <br /> �)� ����, �• �� � t�'� . <br />� <br />