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. • / IY/ �� <br /> � ����� �(,�D1v07-G-�7' <br /> APPLICATION for ( � <br /> PUBLIC WORKS PERMIT ��'�p' �� <br /> PUBLIC WORKS DEPARTMEtJT �' <br /> 3200 Cedar Street j . • � <br /> Everett, WA 98201 (4250 Z57-8810 / ?��� J <br /> r (,;t� 1 <br /> '' L,l Ct,�✓`'-', <br /> � 3 � � . <br /> �� '� � Date � _ Of <br /> OwnerName: Po/�T oF E�F�P_��'T ApplicantName: ����� G�^�S�'"��� <br /> Mailing Address: �,�[j Y✓D 5�-����Mailing Address: /SO,� G✓ESTL-�4�1�� /v <br /> ���z.��s�,,�v,a 9�z�� ��crr�/ w�e p�ia9 <br /> Phone Number. .�� �- � �j — 6�ps Phone Number. <br /> Q��vsr.ac` z�3 �f S" Pv� SEw�e2 .o.�� z �.,g�� <br /> Description of Work: D/�'�''''�91�i� /y'A�f�k�GE .S �j- �"-��� s� <br /> � 1NSf�c�c. 'Z-b t�� _ <br /> S� �✓ T � <br /> _ � �,. <br /> , l' , / �' • /' �,. �„ � � <br /> (A drawing or plans may be needed to illustrate o e done�; ;-, .� <br /> ✓!i,. ���(-;�. <br /> ---�P'�Z , -� <br /> � �Ty 2� <�,;:.�.. <br /> / O 5 �i`G, Sf��' �',��� ��;, ;� <br /> �;� <br /> Site Address: " <br /> �; ".;, <br /> .: C�S I T <br /> Comments hom Inspector durfng Inftial inspectton: <br /> �,�� ,,, , ,� ; ��, �q� .������� , ,5��� <br /> � . l.. , � { i [: �+=- ' � , - � /,- ` ---� ,�' <br /> � �, i ;E�',i.� � -� <br /> � , ,5J%- � l=:.i1�J�� �1 i,�+ E (j�J rC.L (2 (% Ui lL( �D .---�C G� , �, <br /> ' �: i� �'�.,P,�� ���,� �r������� � '" JA��x /�i���✓, � �_ <br /> /1��.� �LC.� 5 � CD/UIO E.CT7 U/� �0/N%: p r� �y r� �NLI'�-� �� <br /> nZ3ov� ' P �" --�v� ov�iu, , <br /> (�e ,.Y,o vr ct- L� . E ti.1 / a <br /> �y! ,C/N - �t- � , � . <br /> r, � �, � � n� Joi�J �l Cl �-' �����f��T� ���-�. /. f� <br /> � , � .� � � �' n�l'" � .� �� � , , � • � ? <br /> iL , <br /> �il�;� '1 � �{ <br /> Approved for issuance by: Date: <br /> �� <br />