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APPLICATION for
<br /> PUBLIC WORKS PERMIT �W�5�3 a��y
<br /> Y fT7 PUBLIC WORKS DEPARTMEP:T
<br /> `' 3200 Cedar Street
<br /> Everett,WA 98201 (425)257-8810
<br /> Date .3 �o c s
<br /> Owner Name: %��i� � ��4��-' Applicants Name: � 5 c��»�'
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<br /> Mailing address: ���JL� � G `f —/�� l�% Mailing address:
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<br /> Phone number: 9��` - ��-'�- r `%�_'4 Phone number. �
<br /> Descriptfon of Work � l. '�. • , �< � ,;� � � ; ; �, � , � ��
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<br /> Site Address: �'i/ - �!%�� `.1 �'�, s� � <,' ,�
<br /> Camments from Inspector during initlal Inspectlon:
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<br /> App�/ ied�for Issuance by: Date
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