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:�>; APPLICATION for <br /> PUBLIC WORKS PERMIT PGJ��G���' <br /> PUBLIC WORKS DEPARTMENT <br /> � 3200 Cedar Street <br /> Everett, WA 98201 425••7_57-8810 <br /> Date �" 6' �� <br /> � �}� Por� bt E VC.rti"� <br /> Owner Name: Port e� �VGr Applfcant Name: <br /> P.O. �ix 538 P.o. �ex �8 <br /> Mailing Address: ILOS �+'��'artin w�� 5,;.�c�� Mailing Address: 1t0� G/W�k!n«� W�� S� '� <br /> ��.0�4 wA 9g 206 ��4 w,� 9szoc <br /> PhoneNumber: �{ZS ' ZC9 � 316`I PhoneNumber: ryZS� 259� 31L� <br /> Descriptfon of Work: f���yson o� Po�} � E���� �a�+.fHa ��G�w.ln�w � <br /> ��r�M1'nq f�✓!N� ' L�uP1,� GlGtnc�� w��E✓ <br /> �r <br /> cwt/� S�rnWaft.�' Iti���i�ifi`1 <br /> (A drawing or plans may be needed to illusirate work io be done) <br /> Site Address: ��T C+c�S�^^�''� W"1 �V�� � w� 9$20G <br /> Commenis from Inspector during initial inspection: <br /> Approved for issuance by: Date: <br />