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— �,o� �� �p <br /> A�PLICA:TION for '� �� �..� � <br /> PUBLIC WOI�KS PERMIT � ����,� ' <br /> E7T PUBLI..WORKS DEPARTMENT <br /> 3?00 Cedar Street n�o,r�`� �.1� <br /> Everett, WA 98201 (425) 257-8810 �� •� <br /> CdI'l <br /> Date 3 � 31 -d 6 <br /> OwnerName: _ C�t��s cN�sE ApplicantsName: -> �"`'�/� <br /> Mailing address: /9Z7M�c�� � ;�r� I3�.:4 Mailing address: <br /> f=c/L/LEJT w/� S `G Z03 <br /> Phone number. �O6 �Z3 5`- -73 i`J Phone number. � <br /> Description of Work: REM a vl �� S f�C,o EIL �E,EJ �.�1 /3 (/��/� %^'y c 1JVE4�,� <br /> /7liC 1..1Vi',Ct�(' //Y1J /3�('F•.1 .S✓�(' 4'C:�/C'/� �i1'1/}ftKfQ� �(if��rEQ <br /> SiteAddress: `l�C� �l GCFaNA�F� la,2, �•c - <br /> Comments from Inspector during initfal inspectlon: <br /> NL �( �C.i �i C /L �C�i}O L i+�t /�i.C�/i��Liv (S .�(.�cf'vuti,U . <br /> � ,���,, .���:�����y «t4., � f �<< �„��s <br /> — 1nsJGCL FNOS�Ot. l'o"��L as d����c1 �- i�c�d��.d <br /> Approved for Issuance by: Date <br />