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.�,,; Ap�lication for <br /> :"''. " "�'� Public Works PermiY <br /> :r• _ <br /> . <br /> r�,;`�� . ,:, Public Works Department <br /> L�'l'- ': JI'r 3200CedarStreet <br /> �•t:1: <br /> Everett, WA 98201 425-257-8810 <br /> � 1.1. �� 1C� A1 � Date: "1 � �� I�__ <br /> Owner Name:�oh N 1M� C-�� w Applicant Name: ��N rnC�'� � �`-� <br /> Mailing nddress: l 13� � l7il-� �ailing Address: <br /> Email Address�U�lU�I( °��C�y�HW C.C1/v� Email Address: <br /> Phone Number:�-S� a� �� �'��� Plione Number: <br /> � '�10 �1(0 <br /> Contact for Permit(Mame/Plione/Email): J C7�1 n, l�/Ir �`i N k�' `�� <br /> Description of Work: }�1CW P'ATd� -' �t C�1-4 l dF' �9J�`� <br /> �aL � S f'�� 1� o�-L- <br /> � .�.v ,�c.. ��/o/ <br /> (A drawing or plans may be needed to illustrate work to oe done) <br /> Site llddress:�� �� �_ �'��� ���' — <br /> Comments from Inspector during initial inspection: l,�,� <br /> �n i �� � �vt 5��c-1'i�'1'�'` �/M`� . <br /> i�ci5�7/1/G S�Ei2 �'f/J�v,�vLE ./P�v�' � �=�t��-✓L rI1 c(�T �'S E <br /> f,�'��cS�� io NG� T�U�s��p .-�ri'Lr9-��.` �LEv�9-i7or✓ <br /> .�G! � z - 1� <br /> Approvc�l for issuance by:^_ Date: _ <br />