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. APPLICATION for <br /> PUBLIC WORKS PERMIT <br /> PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everett, WA 98201 (425) 257-8810 <br /> Natt Z��nich <br /> J619 D�Hington Ln \ <br /> E�ercn H'A%:03•I602 Date .]t{��� ,�� <br /> ►�Retl..� w�. t k�..a.� u,2 6, Z u .4�..� �c.Q,, � <br /> Owner Name: � Applicants Name: 1.,� ,�st- ��a �►v�� <br /> Mailing address: � ���( =� i42 L .n,�;i.,,,. 1.uMailing address: 4 �O� �' L 'r�l�-�.,,��, �+tJ <br /> G f/L11� L t L � � ✓ ld..t� �. �.[J �F <br /> Phor= number. 4 z� -3 s 3--58�'3 phone number. A Z S- 3 S 3— 5�S'3 <br /> Description of Work: Q� �-��1T A � o�,.d.'��mu r4 L �-C 8c �._a.. w� C�" 7D <br /> �l O v 2. G v L �.�n..c f2 `�o �C„t L�a i e� I�P � 'f'W 2 0 � <br /> tA M \ k�l � �Q V.O�( rT� � �'1 ��l.fi2�A 'T�n � q V /7 f��. l4�`I <br /> Lk��¢ � 4 �3 ( n A-�C.l. ,.. q-�e,., L. u.e . - o v..-� - <br /> '�^�,,,� <br /> Site Address: 4 6 I �t b i!-!LL , ����[ou �L.�}k,.Q <br /> Comments from Inspector durtng initfal tnspection: <br /> �NIitNL IINSPECTIQf. <br /> KIAK BROOK� <br /> .'LG• 01 <br /> D.q►E _ � --- ---- -P- —_—. <br /> �� Approved for Issuance by: Date <br /> 'z <br />