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' APPLICATION for Q',� <br /> PUBLIC WORKS PERMIT n',1�DU <br /> PUBLIC WORKS DEPARTMENT rW <br /> ;- � 3200 Cedar Street <br /> :;> <br /> Everett, WA 98201 425- 257-8810 <br /> Date S +�-l(�� <br /> Owner Name: 1 " ��'Z—�--�7eSSC I If� Applicant Name: ��-�U'Z �—'at�5�� k <br /> Mailing Address: ��� ��_ 1n��1 �C Mailing Address: `�c�/� -� � ?�A�1 �J� <br /> L�c"2c �� w 4 ' �� 'CV�2.r �l . w'A� �'�i� I <br /> Phone Number: 4�ys�(„3 � Phone Number. �Z�_ �-5���� <br /> Description of Work: ���T��=�2 S�Q?-J a-L 1���� W 4�� ��SC.�S ���c�.iCS tiTl�f'� <br /> ,.J��� �.,��� ��� �a��-� �s.r,�z.� i��►c, jw� s�a�� �-,s��T <br /> �r ��a�c,,,e3-�-� �r�sr- . <br /> (A drawing or plans may be needed to illuslraie work to be done) <br /> Site Address: �i Z'v"� -�`����� �J� C-Jc2;LT- �J 11- ��z� f <br /> Comments from Inspector during initial t-Lnsp�cllon: Q „���4� �_ 7_v9 <br /> b/��� �3 " -��^--�_ .�,Qr� � I <br /> �� ��oc l< GL�1�'I,L ,����sT �E n2c-y�� T� 3 izT �-�� �i3-�,� o�- <br /> �u �< C� . <br /> z\ /��/�X//�:c(�.��) yE�<ld l or'- cJ� l-L i S � 1=� � iN c (u(�..� F3u2r� <br /> i3���'� itiCocf�, <br /> �� /F 77lz� C'� ry ti���� �� �,I n,2 fc /,til �I c,H T o'� ��� �/G�yo,,�rz t�l cu,m:cy'� <br /> (5 � <br /> /�'�'S�='v�.�,�.; r� ��E fv� iZE�vi.�/i n,�G cre Wlt�U!�✓!� OG WIh(.L., <br /> �r) n� usr i»���✓;��til z�'� ��v�� �v�� wx���2 s�v�� ��- .����. <br /> Approved for issuance by: Date: <br />