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APPLICATION for <br /> PUBLIC �,IVORKS PERMIT <br /> PUBLIC WORKS DEPARTMENT <br /> �,� 3200 Cedar Stree`. <br /> " Everett, 4VA 98201 425-257-8810 <br /> Date �/� �o <br /> Owner Name: � 11 I ���t� Applicant Name: v �l� � "�W"t� <br /> Mailing Address: 7 z/� ( ��� �V� V`� Mailing Address: _ <br /> �v�vt�— �lu `���n3 <br /> Phone Number. "12S 30�-77b`� Phone Number. <br /> Description of Work: �"�"^ ���'�"«-� �u�� o«�" o� Co���✓�� b���� �`i '� <br /> �xc���£ 'iF{- i� Ht:c��� 1. �z-�.,:�;�., w4t� w< <I h.e <br /> �tyrc or s��,, Wi t,4 . Sz wr �. <br /> .�a�+c.l" ItV;, � . S<.c S!'��'Cln � <br /> �A drawin� or plans may be needed to illustrate work to be done) <br /> Site Address: 700 � �aec���w✓ ,�1, ��,pvc�1 �/V4 C�?.d� <br /> � <br /> Comments from Inspector during initial inspection: <br /> � J�<<,'�� �� <br /> i� ,;�=,uliJ <br /> I� �,J _. <br /> + U MAY p � ,,_ � <br /> , D <br /> c,irvoF. - , . <br /> F�i, _ ��T <br /> --- �'�"'r.r,�i, (-� 7' <br /> '-- -- �r, <br /> --�_ <br /> Approved for issuance by: Date: <br />