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APPLICATION for ���, Q c� �a 3 <br /> PUBLIC WORKS PERMIT <br /> � PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everett, WA 98201 425- 257-8810 <br /> Date �(//� �O <br /> Owner Name: �� � �J( Applicont Name: l.�.C-�P��}d-� �T� �jOR S� � <br /> � ' <br /> Mailing Address: Mailing Address: <br /> �d. ��k �707 {t't,�C_ O�'� <br /> .SE.(}T,6 , v�/� 9 �'��� <br /> Phone IJumbec F'hone Number. �rZ� 07b � �9 y <br /> Descrlotlon ol Wotk: K.E W��'K ���7 / C'vi �!f 1�� ��N ���'i� S(%�-' <br /> PµA�L' 2- <br /> (A drawing or ptans may be needed to illusirate woik to be done) <br /> Site Address: >���'� ��U� ��-��'�� � �-� <br /> Comments from InsNecto�during Initlal Inspectlon: <br /> Approved for Issuance by: Date: <br />