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� :..:;, APPLICATION for <br /> ,-.�r•:::�: <br /> PUBLIC WORKS PERMIT <br /> ,,, , � f� PUBLIC WORKS DEPARTMENT <br /> ,.;...,.. <br /> 3200 Cedar Street <br /> Everett, WA 98201 425 • i57-8810 <br /> Date �2 /0 j y <br /> OwnerName: �a � '� T e�)APPI(canlName: � �����/ ��e�+� ��`�'sy„`J <br /> Ma:ing Address: ��Q � S �UO f� I� S� N,aHing Address: � 7SZ� �o`�C�1 W QV /'�` <br /> Su�'4e. 301 � � � � �n <br /> SPa`� l n/�1 t7CiYi�,1' � �/1�A /� � � <br /> Phone Number. ��� gG8-0 3 03 Pho�e wumber. ,�yZS, y I�1- U55 I <br /> DescriptionafWork: l o��ec� Cc„l��U✓l�� SG.vu�D�eS USi„4 a I�f'0� r�'c� . <br /> Su�is.ce. �u;11 loe res�o�d� as�l,t��-s�.��ac.�. Nu ��•+n<Kc-•� <br /> 5-�c'u�vret w�� �n .n2�nna �n <br /> (A drawing or plans may be needed to illusfrale work lo be done� <br /> SileAddress: ZZU � ' Z�� �V�f�i� ti�'Q- <br /> Comments irom Inspecfor during inifial inspectlon: <br /> I' 1 � � �' -' � i ..c4 <br /> I � t' [���%'� � f ', ; <br /> ��� ( <br /> , <br /> L GEC1 � "1�714 I.Jj' <br /> J � <br /> CI'I'Y Ui� LVCr^�'i=7'T <br /> Perrrit �Scrt,i��� <br /> `---�--_—._ <br /> Approved for issuance by: Date: <br />