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Z APPLICATION for � �s � <br /> PUBLIC WORKS PERMIT <br /> . �, PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everett, WA 98201 425- 257-8810 <br /> Date L1 `�-L( �� -<< � <br /> l � I � . 1 rAlI� l,�,� <br /> Owner Name: ��d V1���- �v �� �'��*'��Applicant Name: � d ��� �/v �'1� l'��`�-�`�' <br /> Mailing Address �I � �L� )C���p 61� �L Mai�ng Address: � �1 �:\�C� <br /> ,� ��L ( �•� ����� <br /> Phone Number. �� �-��)-��`"N Phone Number: Sj�-� y�>1 <br /> Description of Work: ���\C ( �'r{ - � [���� �i��' _ <br /> G�� ,n �, �� i� �� L � �-� ��—�r ���-I-� <br /> � � c,�A-1 � <br /> (A drawing or pians may be needed to illuslrale work to be done) <br /> -�_ � ,�; c��� <br /> Slte Address: ���1� L �� �� � � � U � ( <br /> Comments from Inspector during initial ins ction�` <br /> I 2�` l.,J✓3�i2- ��1i3�� z� 3y�����vD �73���w/�-t-(c �s �yl.3i2�DgJ <br /> L��.�TE 5, !.J/�7�,2 /Vl E���2 / S 3, 1.�E -� SiO�Zi•✓KI-� 1< . <br /> l n �� �C ¢— 3 --�� <br /> ��,�� �,-�{z��,� ���,}�E�� �ti� �lA�r SIDr �l� I-��D <br /> _ ..1NSf4.�� T2nCe D2�/ntl LtlRi¢r {+�C'fLY 4h� �JGhw��et � �p '��lC S/dLWCt�•� <br /> C�6vvt '�. 4 -F-f- bac� rr.-a.,, si�/ewaL�F _ ►nec'� �,.:i� .c��.� �'�spac+o�•� �� y°� <br /> I /� �r 1"kJ.Cj �1C�P WI�'�n LCQ�iOn . <br /> �' TY�iS -tv.v+te. I'✓�uS� G¢ r¢w,oVee� A'� '�'�1.. OWhaH{ exPenc� ?7� -f�(jt C/�C� evE�"' <br /> y�pRo�S o USe 'fh�J Q{^u. '�o� �unici�a� PUrPaSaS Or �pr WOr,� �ln+/�� W!c'�e� S�/S�'�'��t, <br /> t <br /> Approved for issuance by: Date: <br /> � � , � � S� , ;r i,� � �,,, _ „ . � �� , �� 4;. �� h�c(•� <br /> _ � <br /> �� <br />