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APPLICATIOii for <br /> PUBLIC WORKS PERMIT <br /> PUBLIC WORKS DEPARTMENT <br /> �!�' � 3200 Cedar Street q <br /> Everett, WA 98201 425- 257-8810 D� �/DS ' 0� / <br /> 1 <br /> Date J-.�.�' ZOI� <br /> Owner Name: J �aru -4- I�o�e r-E- �ow�Applicant Name: �� � �'ro����� ��-��^r� LLL <br /> Mailing Address: � � 3� C (i���>>u.� Mailing Address: /S/7 - l��or..� .��� <br /> F�.v�� In,�(� 9A1C� T�iorc� . l�//� 9ti'i0� <br /> . � <br /> Phone Number. yJ,�j- 3C�,j -f,'y�Jj-,' Phone Number. �/,Z S- 3��- ii Z 1 _ <br /> Descrlptlon of Work: %r ,c� F.rc 1,0� a�o � ( .��•��.� .�olv��� r.�ucic'_ <br /> ��.� � �Q �- � �� � ��.,.Lar �r' rr� — <br /> �A drawing or plans may be needed to illusirate work to be done) <br /> SlteAddress: �� ! �l <�l"� �� 1.��� ��1_��< <. zf/ <br /> Comments trom Inspector durtng Inilial inspecflon: :�(� S �� � �I <br /> //l(('ll (i'f �f� %i. ! /•:rvii �ilc'�� i-F l/[>��wi,) �k ��l7t/c� C'k�C'TAJi.(T A�f �� <br /> � '� �lv:1R,��7fAih' >>T �i3c'k- t��•f c r �iO�c.•n�K. CI�Er K c•.rlf1 TQi9 FfiG �iv4, <br /> ��.� t �",iC�l/7 l�/5771���� � c'�lL� Z 'i�Cti� `�/ � /�iWP�JCSaf�CF � � TrU�`'' Si�cY/G�� � <br /> , /� � � - n� ��,vF,�,���v , alonA a3" S't� <br /> /tif f/S/�:I/J ( •, iI /•,F �U l e Kt D � <br /> — i I.ANn/iN� � �Z"/��CN�- LN�7v�N,.i p�-� L' NI.CNb' L'��� OK. � COrt.N'R(L T�ir�G-Pc <br /> �1.,��1c`f sru�..,� ��f�" �l� CJ+tNV-IL uF �rvf���cN� ( z"Y� t1 23"� $ Al���y - <br /> G-la��c w� r2n�c.c. �,��. I✓�C �IL��ZJNI, <br /> �' �--� /�_L�S /`<i S CC'ti n inP �S '�d Q�� <br /> Approved for Issuance by: Date: <br />