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- APPLICATION for <br /> r�" ` PUBLIC WORKS PERMIT <br /> �, PUBLIC WORKS DEPARTMENT <br /> t ' �' ETT 3200 Cedar Street <br /> t�s== Everett, WA 98201 425 • 7_57-8810 <br /> Date � - `) _ ,1� <br /> Owner Name: �� I�� � Applfcant Name: �L 1 ` �� — <br /> � <br /> Mailing�ddress <c �� �(� �'Gr�+n 1)-. MuilingAddress: [r��')�G l M��in �r' _ <br /> F✓are� .,, ►. 1.���'j�Y�6u- -E✓e ��-f�� (,11k� ������'l <br /> ^" i <br /> Phone Number. ��j_ �"]�-J - `�y 3� Phone IJumber, j��S' 3?1# - �) � <br /> ,qfl.;,,,/� ���t - }U S- 6)O�" <br /> DescriptionofWork: � I��"t�''� IPII I �`�� h C'cv�S"fi�ur-�o�� CcEFI,r ��� �'��� E�n(c.. <br /> �;f �� � '. 'I <br /> ,� J r' I f J� � I �" .�1� -C�S .*+ -�.,_� C��a.b- <br /> � ;- � �`Qr2 \i ) �V ha �> �QL� `�lC%�1,�.'+� rr.f u w�a IJ <br /> ;�: �., I � <br /> � ,,;�. ' i� - <br /> (A drawing or plans rnay be needed io illustraie work io be doneJ <br /> Site Address: <br /> Comments trom Inspector during iniiial inspection: <br /> ��f:'� Ct P��'blh��` ��Z"vt �. �-G� � i�� '/�3 <br /> ! <br /> Approved tor issuance by: � Date: � � �� <br />