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/ , <br /> APPLICATION for <br /> PUBLIC WOR�CS PERMIT <br /> EIT PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everett,WA 98201 (425) 257-8810 <br /> p�J aU� Z — a S.3 Date �� �`! ' 0 i� <br /> � <br /> Owner Name: I�Uqe� "Fi,�v-��n(' 1. Applicants Name: ,`>Gl(1'iP <br /> �i�e-P v� �,r�'r�^� �",y` `, <br /> Mailing address: l =,r`,3 1�"t'y-f' /�J�' Mailing address: `.>« �'�'�f' <br /> � <br /> ��,- r,> r� , l,ti'�'i `i Q1-c,l ' <br /> , <br /> Phone number. ��T`� .? l 7 - �X -�I Phone number. :`xt ��/1 �. '� <br /> 92s- 2s � - goz � (�»,�� i <br /> DescriptionofWork: .�_'� r���! l'�C.� �'e� ��-�t ��'bic. � ��J, 1� h�' r��icr�� C� �QciS� <br /> '1 ; -n I V -f1 (` 1 .{ <br /> ��t �•�' dV11 1�1f Ci�l `��CICw'a�t1 Ll�(7l'1�1 Ine fruY11 c�� I�; 'j�rJ�� llL�tl <br /> L I � <br /> '�ij 5�-(Alf'SI :C u�'1�1 �r' Ll✓tvN ll�Cl;.� Y"CI C!� �7,'Y il �'7GL11 .�C' �5�. �\ �lY�7C'�% <br /> i <br /> w,i I _,�G,i1 t6�c Si�C�P ��c��h: H;h;�l� c�_ ; S c �� � �6,r �,�_� SC' , <br /> SiteAdciress: I �( ;i I'tr_-�(i- �`�-�ir �_r�-���� <br /> , <br /> Comments from Inspector during initial inspection: <br /> �� �'��rk�F�`�' <br /> �N17:NL �NSPECT6wkc � <br /> KIRK BFt00KE � '�� <br /> � / <br /> � <br /> Di►i E .._ `/��� <br /> ,�/,, <br /> Approved for Issuance ty: Date <br />