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11 ps <br />Owner Nome: <br />1 .y <br />VJ'5f <br />APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />'2200 Cedar Street <br />Everett, WA 9820: 425-257-8810 <br />Habitat for Humanity of <br />Snohomish County <br />Moiling Address: 3201 Broadway, Suite n <br />Everett, WA 98201 <br />Phone Number: <br />Description of Work: <br />(425) 258-6289 <br />tallation <br />—41! <br />side walk-, r <br />rpr <br />gj-a5 <br />i'A)0(�GI-�)IP <br />Dote 11 January 2008 <br />Same <br />Applicant Name: <br />Mailing Address: <br />Phone Number: <br />rking area <br />Syst <br />rground Util <br />and <br />and gutters <br />10,;1�ICa� cv of E'res,cl, io ,fL•ot Li„ `l i y,"'tZ6h $ Shc t <br />(A drawing or plans may be needed to illustrate work to be done) <br />6624 Broadway Ave, Everett, WA 98201 <br />Site Address: <br />Comments from Inspector during initial Inspection: <br />+' Loorfc to bL- ck p7c Pu, a99j'r✓cd C-1 P*# P �'a c44 k-d / -7-9- OT <br />/`�%RT '^ �[ I / t (CUP/AVCCIe9) <br />5P i1rT � S}'r�c,-TS C�¢S �-, 4�� 'r��risS 1 <br />Approved for issuance by: Date: <br />