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', �j_" <br />4 , Y� <br />,,,�„ �,.- <br />Owner Name: ��1i1 ��L' c�l � U(i�; <br />APPLIC�►TION for <br />PUBLIC WORKa pERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 9a201 (.�25) 257-8810 <br />Mailing address: -1 � � 4 it��r� /.��)1� <br />--�" <br />�i.t��'� � . � �- <br />Phone number: 4"ZS - 2-S�%- 4C��_ <br />Description of Work: _/"���r�' ���a��e� I Ul � <br />� <br />S�te Address: `� � 5� �-���- / k J�� <br />Comments from Inspector during initial inspection: <br />�l�J a2Dq -OC�; <br />Date ZZ G� <br />Applicants Name: �I-�U� ri �,U� <br />Mailing address: _ �� �� (TG'Vt <br />—� <br />�ver� �U,� aS203 <br />Phenenumber: 42�'�` —�R1�2-�" <br />s <br />Approved for Issuance by: Date <br />IU <br />