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APPLICATION for o�` <br /> PUBLIC WORKS PERMIT '� ��' <br /> y ETT �UBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street �WG�i(- <br /> Everett, WA 98201 (425) 257-8810 � G�� <br /> Date �� ZZ �� <br /> Owner Name: ��% ��"r—r��4�� A�/4D������ Applicants Name: <br /> Mailing address: J`r( Z - �'t C S� S �` hAailing address: <br /> /tiGl/.uiGT/=f; �/'� ��'27S <br /> Phone number: /<>?.l � �j S S- 6k 31 Phone number. � <br /> �— <br /> Description of Work: � ��L����' T�'� .�J 15L�C' R�rGi� v y l�A � <br /> SiteAddress: Z�3�' cv�ii3,���j <br /> � U�_�r; i <br /> Comments from Inspector during initial inspection: <br /> � �-(��'��T...� �e.�-, C:'�� c.C �E��( V i—(�—�._� l ---� C!C�1 I Y L �Z—/C��, <br /> r - / <br /> Approved for Issuance by: Date <br /> � <br />