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APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTPIENT <br />3200 Cedar Street <br />Everett, WA 98201 425- 257-8810 <br />Da1e <br />� GV I ZrJ 7-O C�- <br />Owner Namr: � 7��� ,� � �""�� Appltcant Name: flrvc' Y/7UU��� f�=�� <br />Mailing Address: S�CXi^C��)�� �� !"T �/ F^ Mailing Address: <br />�,.u�}- cclo� <br />Phone Number: �� 3� �()n J� Phone Number: <br />Description of Work: <br />Site Address: <br />�{� l.�� �m C�< �IDE�( ^ I �'!S-{r� �/ �°c'LP� �/lIl'vl <br />� <br />rrA'v,C E . �(''�. ��� <br />(A drawing or plans may be needed io illuslrafe work to be done� <br />�� <br />Comments from Inspector during initlal inspecffon: �l•%�G�- ��. r/- lo -1'Z <br />T'r3ftlC C��'�c'7't%C- �%���2 C'�,112i2��rvl /y%Li�TCD �.i>vD�]�1,S�S <br />���I�l� Cr9s�N <br />.rY�E ,�„ <br />/O ��"� _.�/✓��77�-�LC-v ��EI�L L O, E Si� 4O Z <br />,��h� ��ninc�vnc ti���s 9�n��.11� <br />Approved tor issuance by: <br />Dafe: <br />yZ <br />