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� �wtiO i 2- o���' <br /> �} APPLICATION for �n-`� l <br /> � PUBLIC WORKS PERMIT �"��° ��� `I <br /> PUBLIC WORKS DEPARTMENT ' C • �`L�,J J <br /> '�'Ev.,� 3200 �edar Street <br /> ��� Everett, WA 98201 425-257-8870 <br /> Date �r . -Lf3T�+ Zu�c� <br /> Owner Name: M�cuAE� S• C�E�eu�enC Applicant Name: <br /> MailingAddress: 1u3�� 33R� AJ` S�� MailingAddress: <br /> FJcPi� w, A . 94jZ.U4� <br /> Phone Number. yZS- Z�:�- ZZ7„ Phore Number: <br /> Descriptlon of Wotk: F=�� Tu cQ�nTe B�..r��=.�c �L�e <br /> �A drawing or plans may be needed io illusirate work to be done� <br /> Site Address: Ss'u5 r3RUA��✓�y <br /> Commenfs from Inspeclor during init(al fnspection: <br /> S�G� �+�¢rr�.� -�' ��/) n8�3 'OUp �t7r COhc1r '�i0✓1S <br /> Approved for issuance by: Date: <br />