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��. <br /> APF`!ICATiON for <br /> PU6LIC 'JVORKS PERMIT <br /> .fY fTT PUBLIC l�'ORKS DEPARTMENT <br /> ' 32C0 Cedar Street <br /> Everett, WA 98201 (425)257-A810 <br /> Date ��� <br /> Owner Name: _ { 1� � �/e✓�SCT� Applicants Nam �✓, � 7Yv <br /> Mailing address: ���� Mailing address: "� <br /> �Gt020�', � 9��U/ <br /> Phone number: _�ZS 7�l �%S�� Phone number. � <br /> � � i <br /> Description ofi Work: t.e mCw� ��w o-fc/ a/2���..✓�. �c�i+o.z.�.-l�. <br /> QG��.r //�S7��GG �'i!^QSS l��-�TcJe2r� C�ui-c� �.�,G .f/C✓W4L� <br /> Site Address: % 7i� �'�o/f Av� <br /> Comments from Inspector during initial inspection: <br /> 1 / C < 1 <br /> ^ G�%� Ci'� S7�?°C; � CCLQL� G7� fc /j/,��?s <br /> --� ���1C�7 wii�� �U(�'`/ C Lc�Oi'fs .�hs��cC7�0Y' ,/��{y-,. <br /> �4J %/� 1 . �1 � <br /> nf L��O/-�C�,(�E��i�iS ��:fj4/n.io, �.J J�- 75t03 <br /> ► <br /> Approved for Issuance by: Date � <br />