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Application for <br /> ,7�"•' ."''�s• Public Works Permi4 <br /> ? �. <br /> r,f�' •;r PuUlic Works Department <br /> °�"" �✓' 'ii�7�1� 3200 Cedar Street <br /> ���'. .. <br /> Everett,WA 98201 425-257-8810 <br /> Date: <br /> Owner Name: � ��� � Applicant Name��o, �,�r"a i�. 1� <br /> Mailing Address: �3��� G�o�v�-� Niailing Address: Z'Zoo /gQ7��/L_SG <br /> �I�"�La.,7'�� �Rt—LL��/f>D',y �rl�" C�iUvS <br /> EmailAddres� � � � EmailAddress: ��o � � C� �-�s�✓•GO'"-' <br /> Phone Number:� "" Phone Number: 4 ZS"�� u ��" s3 `�`� <br /> Contact for PermiC(Name/Phone/Email): <br /> Description of Work:�C S °�c=w—o J�A � <br /> _ 2,o � Lo �;f� Z2z C � <br /> (A drawing or plans may t�e needed to illustrete e�ork to be done) <br /> SiteAddress:_2�j 7�_ �,��7�`t-�w ✓}�( U`✓�n �`�, � ''q __ <br /> � <br /> Comments irom Inspector during initia� inspection: <br /> _� ��i�,��� � <br /> � <br /> u <br /> 5�P 1 � Z014 J <br /> CITY OF EV.E��TT <br /> Permit Shr����s <br /> Approved for issuance by: Date: <br />