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��Qse ado� fo �fJmO(.L7r1�' <br />1 L� <br />� rG� 7 Gtr/� i�d ,�/r' �c , <br />APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Evere[t WA 98201 425-257-8810 <br />iiloPe � ' � <br />,'i �� <br />C�;,Qe,�JRJ �ate ib - ZZ - 2d ! O <br />Owner Name: r�'+� �' P ��Z w' Gc k Appllcanl Name: S�S =^�- • <br />t�loiling Address: �$ Z 8 qrpu�p,���� hlai:ing Address: <br />Evcf�}��- wR. 98zo3 <br />6ra•���t 1-�,115 W/� �K25Z <br />Fhcr:� t��mbcr. �ZS''35s- (osj� Fhcn� tJumber. ,j{�Q -%Ci I' ZS z-S <br />Descripifon of Work: T.�.6e� (-ior�cg� <br />(A drowing or plans may be needed �o illuslrale �.ork fu tr� done) <br />SHe Address: ,$ 2 g � �G4cOwky �����ta- w A. �► g-zo 3 <br />Comments from Inspector during fniiial inspection: <br />—.G{� f! J r a�, cc ^ 1 <br />�o ��(L �o�,o;�ro�^ � n�fn�-na�,6M prc����cc� i., � SEPa D.N.S <br />� �Q. C1S2 /S I^[ pVrn.G� r*Jr / �7�5 �/" ' C�� <br />J <br />p �� c4 �= <br />/�� d a. ��� . /° '�� ° <br />—�'��� Sfi-ccfs .�•,, �o f�e iC'cp f /CC� .��� o� /�rr�o�� �iif .�' c�Fr,l a{ a/( �ir,�cS <br />—%�LRn7�.:,�' orrevc�'rCens a�onq �J/rOrCACua S,falL 6t q0/+C �ar S.Ef'A r'4u�rc���c,:��, <br />.i�f ��Onnrn� �_�'% �GVC %y�CI^) POr �E�i`f', � <br />-- /��'SL�i?G✓ 4n� C��1'�70.5�'[��`{OU�o� G✓i1�irllr ,3�t�0�j O� GdQ�A C'O�i�'(�YiC�� .t�r;� rS �i/;��i�.��. <br />!� {�t �it�Gl�C c✓url5 n�S�eC%or . <br />—/��wvic% anY i�cCtSS4i�� ¢vt�Sio„ Conr.n� GJ��.-Cc �C� �Y �/� Pc,�l(�r C.�orf5� %„S�,�cf�.�� <br />Approved tor issuance by: Date: <br />� Q�/ �rc �o one D� i{ic 4CC?SS Poinf p�+fion, ��afc� �.> '��C SrPr9 or aS o�/�� /�cJ <br />�Y �%rC �/ �y %��n H � o%PG r-i rn. �i'f <br />— /Y/lar� <br />Dj/ �G <br />CN�/✓+CCh/�� <br />f/„� St,;,�,._. f3�-F/'•,- pv,� �- 1„ <br />Ci �y PCon�-.=r, <br />S�f.r'f� �� CciOI'�C Y />4✓C � /�L'ti/i�✓G('/ <br />