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Application for <br />Public Works Permit <br />Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 425-257-8810 <br />Date: otp- ?v F4 <br />Owner Name: i�/yM=�Q i /1(61AQA Applicant Name: V 1Fd?SC%1q pt=,t <br />Mailing Address:�,`7P FFLbF,94( AL Mailing Address: �F ?c� � F.�J!( A <br />r utw F( Y lit U' 7a i CvA q J 2d r <br />Email Address: Email Address: �jEJ2SC�u �(� r r(.Cpr <br />°S 3 4 Liz 9 <br />Phone Number: 206 'Z Phone Number._ y? i <br />Contact for Permit (Name/Phone/Email): �h1I� l/Ftll S CNu ftcti f(2 S y 41 ??5 <br />VFJ(SGLrct f0)!j�m4lL.001i. <br />Description of Work: �f MDtti ac?,eL/F( FoP (rAr OSCAP(/N 1 All?Elt <br />J <br />(A drawing or plans may be needed to illustrate work to be done) <br />Site Address: - S ?J) FFnE,?A( A L r <br />Comments from Inspector during initial inspection: <br />r— <br />nte <br />T t� <br />Approved for issuance by: Date <br />