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i--- --- -- - -, <br /> qpplica4ion r'or � <br /> :r�i�' _!:r?:� I <br /> �,;,• , Public Works Permi4 <br /> i �, ' ,�; Public Works Department � <br /> .,,.. -.:�,. <br /> ,'.���':;��� 3700 Cedar Street <br /> �.}.'. � <br /> i Everett, WA 98201 a25-257-8810 <br /> b L <br /> Date: � O��__ <br /> O�vner Name: f� / 1 �a�_ ApP���ant Name:���l3��.� - <br /> NlailingAddress:_2�� � ��'(a/�Sfi• MailingAddress: <br /> � �vt � 4J �k ���-�� � -- <br /> Email Address: Email Address: <br /> Phone Number: `71-� 511 UY1� � Phone Number: _ <br /> Contact for Permit(Name/Phone/Email):_ � � �`�/lrJe/ <br /> Destriptionof':Vo�k: /�{p�.Q,� ��.1��" "" -- <br /> � � <br /> (A dra�ving or plans may be needed to i�lustrate work ro be done) <br /> " �,.�A � l�\ <br /> Si:c Address: <br /> 2y��.--F���d� �fi �v�fJ� —. — - a -- -__ <br /> ` --- <br /> Cummentsfrom Inspecton I ff�n,(,rt�t f,jq p'clion; • _ . <br /> � 3 <br /> � �f L_;II i �h� 1� � . r �.� , <br /> � ��s�LJ� ���� I ' <br /> �; <br /> `(�'�� � I �� <br /> �ui. n 7 nii4 jl��i <br /> CI-fYGr cti;";-;�_ �:_ � <br /> Penr,i} :� - ' <br /> ._.....�_..._.. . �'. _.. ...,? <br /> Approved for issua:ue by: -- -- --- Da;e:-- — --- . --- <br />