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Owne; Name: �J't ��cfr`- .IhC <br />APPLiCATION for <br />PUBL{C WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 (425) 25i-8870 <br />Mailing address: Z ZSDc�- ,�G+�'.���. (.�% <br />F�Y.-�anC�t �L'4. l�jCl�fc <br />Fhone number. <br />Description of Work: <br />ZS -`17S —4G1� <br />Date i2'S-o� <br />Applicants Name: �' <br />NQ�a�l:c La ChnPeCLe <br />Mailing address: S�N"�� <br />. � �. <br />Phone number: 42s - z38 -898 4 " <br />S-icck P�L� SG'o0 <br />Site Address ��0 � j�� oR ���- �— r <br />_ _. _ <br />, <br />Comments from Inspector during initial inspection: <br />� <br />�r�' Cr-/y S�r�i'fS CCtos�r �'� ai� �ii>�S <br />Cc'Oi'� �a 6c o%v,e �r uv�r�✓eo� �>(ar,s c✓a�eo� <br />No �'lC is -fa b�: �E,��os%�c� Lo,� �lG,� 30„ <br />��caY -fhe SOU�l1 /�.n� P7' 7,1/S �l'OP�'r�/ <br />I.'����/� l��rT�ar'iCl� EYO:�O�-� COnf�-��� <br />�'�f L�r, c,�r,�-'-s In����c+vr_ <br />%2-'S—O2 �CcioY 4��CLje� <br />j�rr.r:r, LinP -l�lrn-� r'u�� 5 <br />� � re�vesi�d by -f�,e C�+� <br />r;. �''o .`-ia:�r�r�.e' .Si�4Ll %3C°�C'�oC7� pr Cot/C'rC� Wi�h Sfr'AW (iJl)81� COmfJ(2-E'Zd. <br />L��+�r,,,i!fr��i- Co✓erinf o�" fhe fJilE ,.�ii� ViSqvte�� o�v��� J-1-he raCeCS <br />�-�,,,,�,-c-� c�zpe�,�,:�. q/y w�e���tier d P ���ay Se <br />Approve�`For issuance by: Y� � Date <br />