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, � � � �� -a�z <br /> APPLICATION for <br /> PUBLIC WORKS PERMIT <br /> PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> "'� Everett, WA 98201 425- 257-8810 <br /> Date �� �— �Q <br /> Owner Name: �./0� fJajt0. AppUcant Name: bOdcN� I�AS�. <br /> MailingAddress: �� �D�E9�C..}" MailingAddress: (pOOq� k��`}hCj�..�jW <br /> ''r�,�✓a. �lg`d0� �,.,,aK..VI/a. Q�o3� <br /> Phone Number. y��p'ttj a—CJ. `3Q ( Phone Number. 1���'.. 7z'g..Z�c'� <br /> DescriptionofWork: ���n a.w.t�lt� O�Cw��D�f �"�m�al�l Gir�Or.p1�K <br /> �A drawing or plans may be needed to illuslrale work to be done) <br /> Site Address: � oZ FdCiG� �- �-, � <br /> Comments from Inspector during initial Inspectlon: �n /� 2� _ ' � <br /> y � <br /> �h2 �9�c'�;�� /Ua�s <br /> Approved for Issuance by: Date: <br /> 12 <br />