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Ilit:i°On; 15 13 FA.X 425 257 8857 EVERETT PERMIT SERVICES �002/016
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<br /> APPLICA?ION for ��Y �ry�"
<br /> PUBLIC WORKS PERMIT
<br /> PUBLIC WORKS DEPARTMENT �
<br /> 3200 Cedar Street �
<br /> Everett, WA 98201 425-257-8810 � � �
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<br /> Owner Name: ���� °� �'1'-'c -- ' Appllea�t Name• � �''��.' � � {�' _ °7
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<br /> Mailing Address: 3 200 Cec�n r `��- MOIIIng Addreu: �y lU- I S`I I l� �ve �t
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<br /> SiteAddreae: 2l26 �RANO nvE, �-ra-9) 1a29 c. I✓�qQlN�viEW ,pRIVf.
<br /> Commenh 6om Inspeclor during Initial Inspectlon:
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<br /> Approved (or issvance by: Dnle:
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