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�ti� �:. �<<r✓ -�� ��������� a ��, �����_ <br /> .� <br /> APPLICATION for <br /> PUBLIC WORKS PERMIT <br /> PUBLIC WORKS DEPARTMENT <br /> „- � 320o cedar street �D 3 -� <br /> Everelt, WA 98201 425- Z57-8810 l <br /> � �V <br /> � � <br /> Date '') -� -�U � <br /> Owner Name: ����r�-� ����"��:�` APPltcant Name: �'*� "�+���-�T_� <br /> Mailing Address: '/)�f'% l.�L-I(u.�'��" ,r��"Mailing Address: _�,ltii�t /�'� C%�'�UZ ) <br /> .�� � <br /> Phone Number. (o(���?�`��7 -Z%i.,j _ Phone Numbei: <br /> DescriptionofWork: `A�ii.�f.:��L: !/.( �LL 17i�'-i� 'TU (?.��L11.w{�Tl'_ 57�� <br /> �l �,>r� f u'-��� ��r � �l?tTl1(�� .�� g1;�L.r�il��.� Si-ti= <br /> �� r✓L�� i�i �.tl 1-�Ul�/L�' . . <br /> �A drawing or plans may be needed io illuslrate woik to be done) <br /> ��. <br /> L� �; ;T� R ^ , , <br /> Site Address: cr3� '�'7L � ]�i�Fc�l-�`�_+'`-�1 L- �� . L V "- .i-T i�J:�- ���U�j <br /> Commenfs from Inspector during tnifial i�spection: <br /> Approved for Issuance by: Date: <br />