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���� O <br /> �ux) <br /> �,�,� ��``� P w r 3v S-c�c� � <br /> �tz5- 35�-�3 �I <br /> Application for <br /> Public Works Permit <br /> Public Works Department <br /> r: <br /> 3200 Cedar Street <br /> Everett, WA 98201 425-257-8810 <br /> .J•G'�l� �G2G/� Date: =-�4' �� ! � � <br /> Owner Name: / Applicant Name: �� 1�p7,dc <br /> Mailing Address:7��U y'�C� � Mailing Address: <br /> f-�-� I,cJa �1�Zc�1 � <br /> Email Address: ���''u� Email Address: <br /> Phone Number: ���Z��0�2U phone Number: <br /> Contact for Permit (Name/Phone/[mail): �11� 7Li U(`; 'i"�U/l �,C(', CV M <br /> Description of Work: ✓�-ft-fi/ �G�LP <br /> C�.�.�� �,�,�r� �-.��e�e., �.�,— 4c��� 3 <br /> (A drawmg or plans may be needed to illustrate work to be done) <br /> Site Address:�/ Z�/ ��v'G-C� l/�C{ q �Z� � <br /> Comments from Inspector during initial inspection: <br /> r. -.i1 . .i..1__: .=-i __1 <br /> +� C�� I�� ���/ '� �^"�. , _- J...I _ _ :j:Jt, ~ I <br /> I {J } <br /> 1 j I,_ ;. -� .i.- �'.� <br /> ��� I� � ' .. _.. ._: _ �� „�.(J t <br /> � ��IHY .) 4 ..�,�� l.�J ��1 <br /> � <br /> � , iIOL � � ,�yW .. ��� <br /> � �-'r- c. � i �i <br /> �,�;,,.;, ; ,: :;,;,.., , ,� , <br /> L_---__._�:.�: :: . _ ._ �7�i��1]�i,,,_�l_�� <br /> �---- ._ _ <br /> Approved for issuance by: Date: <br />