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APPLICATTON for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 425- 257-88?� <br />OwnerName: NOeUV�- NUI�t <br />f.to:lina Ad�rc:ss: _ � zZ "rJ /�Gtt:��J`' OVi �J'f- <br />[vcvefi- W�{ . <br />Applicant Name: <br />M�7ilina Address: <br />Date �i"�3-OCj <br />�r- <br />��l ' • , <br />� , ' <br />Phon� t�umber. �JZS ' 33�f- �/�'/3 8' Phone r�umber: zp6 - C��Z- ISI�i <br />Descriptiun of Work: � SYJo� VelDatv o V� S�c;E �S2UJC;�/" 0.-� -}'�+e <br />• ► • _ .• u. • <br />�!� drawirLg or plans may be needed to <br />Site Address: I ZZS �aGiS;SpN .r_Ji'• <br />Comments trom Inspeclor during initial Inspecfion: <br />Approved for Issuance by: Date: <br />to be <br />