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APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar SVeet <br />Everett, WA 98201 (425) 257-8810 <br />OwnerName: l In�- U 1='�!-1�e(�-S"�� <br />Mailing address: � � � � �� � � <br />L�clo ��.� Gc/�" <br />Phone number: `-Y�-� � � /�-� � <br />Date <br />Applicants Name: L <br />9 I,� v� <br />Mailing address: <br />Phone number. ' <br />I � <br />Description of Work: � " " " "" ' " �' 'J�-e � S ��O � r` �^ � �� <br />p a CP �- <br />0 <br />� �e <br />Site Address: 3 1 U7�' �� �"`�t �� <br />Comments from Inspector during initial fnspection: <br />Approved for Issuance by: _ Date <br />7'-� <br />