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.�(;J �50.Z ._. �ac <br /> i <br /> ,, ;�,�o� <br /> Application for <br /> � ,� ,�, - Public Works Permit <br /> Public Works Department <br /> �� , �✓r�,�� 3200 Cedar Street <br /> Everett, lNA 98201 425-257-8810 <br /> r ' <br /> ,_ "� . ,... <br /> Dale: ..�fy' /ici`, <br /> , � <br /> Owner Name:Jfb �srPis `..�c ul � f3 Applicant Name: 1/G�ry� U� �tiw <br /> Mailing Address:�D I - EVP.rr 1T a✓e Mailing Address: `,u w.G <br /> j� ur.�.rr i,��4 5 thzc� l <br /> Email Address: n�� �b�r T!}n.n+s rF�y3fj Emafl Address: <br /> Ce�� <br /> PhoneNumber. y?S-z52-5�vJ �xTu� W�er�eNumber: yZ5-,2y9- G70Z <br /> ContactforPermit(Name/Phone/Email): ULiry.. W; Ibw NZS z52-S�vD e,�� tr-� <br /> � wi ll�u. � TPar�sTp•y 3 �j D.�`� <br /> Description of Work: rei! C��� <br /> (A drawing or plans may be needed to illustrate work to be done) <br /> Sitc Address: Z Iit� � E✓prs.� i�l(. k✓Pir !7 lu✓� ��!'l v � <br /> Comments from Inspector during initial inspection: <br /> , n <br /> _ S�, '..,tin� i v c^'.i:'1,C rt �G,'1/;'L Gc1 ?�i�'!7�'y` CdYJo�i,?r.�,6 ;' )!i•_' t�r,;,,�G�ti�s1 <br /> v'✓� � � � � <br /> \ <br /> i.7� ��J i� C4�ri`y . <br /> - Grac� �o cf�inine �nc� heJ��if� �nc/u�>� 1ns�dF is's�lt ����� �dan <br /> o�ier rF�tUrF.ne.z�s �or- hd�`or,c �v�a-/Qy. y <br /> Approved (or issuance by:______ ___ Date: _ � ��� <br /> � <br /> � <br /> L�� <br /> 'L� <br />