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APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 (425) 257-WIO <br />Owner Name: <br />Mailing address: <br />Phone number. <br />Descripflon of Work: <br />Sft Addnm:C.9L: t:gna.,. Iq\)f <br />Comments from Inspector during Initial Inspection: <br />?W 0008—o28 <br />Date F- /1- 00 <br />Applicants Name: IffLZ4b <br />Mailing address:A4Q .,-iw �e1i *jM <br />Phone number. (14 D>;) -RI-1- / D3L % <br />CALF rNvlt �oZob� �$6—� oi5(o <br />Approved for Issuance by: Date <br />