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/ <br /> APPLICATION for <br /> PUBLIC riNORKS PERMIT <br /> PUBLIC WORKS DEPP.RTMENT <br /> 3200 Cedar Street <br /> Everett,WA 98201 (425) 257-881G <br /> Date /o/3%a <br /> Owner Name: i�No� �o,��A,;.� � Applicants Name: �O.N l�i _T. C'aR lsonr <br /> Mailing address: i 7 i_ o �',.,D/ANo l,l�t� . Mailing address: _ ��07 E'�QS ..,n,< � .F <br /> �.x,ae� . Gt'/a. - L'J 'O.� rv,�.or lT-. Lc�A� - 9Bo20,� <br /> Phone number. Phone number. �fa5- sol- iys,s ' <br /> ���/rc�Y»�e �y . �. �.s.,/ �✓r�. .rrz� '�/25�353�677J 1:��¢ l�o//i:�/ J. [�rr to.v <br /> DescripUon of Work: /Yle„e .� �rmr,�s �,� t7�..e„e..�..«.�v 7e o�� <br /> � <br /> no�,Q�� � �,o"a.rn Y o�, .� 1�.e ..11- <br /> SiteAddress: _�/U F-.�,�(�v�vea �- l60'7 ,�f'S�- �.roR Ln�s , ��rRe�, t,�A, -r8�3 <br /> Comments from Inspector during tnittal inspection: <br /> iHIT1NL �NSP�C71i•:� <br /> KIRK BROOK£ <br /> t3i�i E �3o er�--- <br /> Approved for Issuance by: Date <br />