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/, <br /> C �. , <br /> , APPLICATION for <br /> PUBLIC WORKS PERMIT <br /> � PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everett, WA 98201 (425) 257-8810 <br /> Date � ''1 / o � I <br /> / L��.� , ' <br /> Owner Name: I�� � Applfcants Name:_ � � <br /> Mailing address: �3d� �roGl�w0.� Mailing address: 2 13u -�1�� St S� l,U <br /> -Vcar I,tiA q8�o.� ' File�/��f uifl °lY��-03 <br /> Phone number. <br /> I�i� - z�� - � I ,3 � Phone number. �{-1S - 3�°l - w( �' ' •� <br /> Description of Work: �a�� 1"a�- �' �J F <br /> Site Address: <br /> Comments froni Inspector during initial inspection: <br /> � �� ° <br /> � � <br /> 2 <br /> Approvedforlssuance by: Date <br /> � <br /> I <br />