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�,J�ao`�-- co� <br /> - APPLICATION for <br /> PUBLIC WORKS PERMIT <br /> PUBLIC WORKS DEPARTMENT <br /> � •' Ev ETT 3200 Cedar Street <br /> ' Everett, WA 98201 425 • 257-8810 <br /> Date �l �r 'L�YL <br /> pnmc. rnr�tzt�L�Sc� A IlcantName: 1'4`trrti �\ivc ,� <br /> Owner Name: PP <br /> Mailing Addre:ss: 2�3� WFrmo i�a4- Av& '�Z1oMailing Address: �S� LAwr `�T', SD�sI} � Z-lZ <br /> �.vE'a-E'�� VJ(� , �1 Lk-L{�NCJ� W� - q�033 <br /> PhoneNumber: `-�ZS• 2'12' L�4$ PhoneNumber: •-1��� - �2`j• IL�22 <br /> DescripfionotWork: �Y-T'��z`o"" �,�'n�a�� Q-�Nu�a-��� i �ZI"C -TNI'�-`1 R-Fi.,rni.l. <br /> Pr -r�-1 Ro.�,.-� �ppoSL� � ICaT�r�t� 1-'R��L�t n001T1utJ <br /> �lyf-1��a�,, vpnn„S . <br /> �A drawing or plans may be needed to illuslrale work to be done) <br /> Site Address: �Z`�� � �_ �`"��-1T n� - �v��k�� ��y� <br /> � <br /> Comments tro��tor �ri�g initial inspection: <br /> � f �; � � . z'Z� 12, <br /> �� nC/ <br /> 9 <br /> �• f <br /> I <br /> Approved tor issuance by: �l✓ Dote: 7 • ��� � <br />