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— - -- - Application for --- � <br /> ��'� I Public Works Permi4 <br /> �� <br /> � Y',. �• Publ?r.Werks Department i <br /> � <br /> :���: , � - 32l'0 Cedar Street I <br /> (_l%=,`:i�f`_i� I <br /> `'`F''"� � Everett, WA 48701 425-257-8810 � <br /> � <br /> Date: 1 � �'� ��� <br /> Owner Name: <br /> ��(,� ��y7���5 Applicant Name: ���- " ����'S <br /> Mailing Addrr:ss: <br /> 2221 �✓-1�� t�<}f MailingAddress: 2�2� �`4nc �JF <br /> ,F��� c i c,� `l�zo� �FJ�� T` �� `1yzo\ <br /> c vw��5@ '-l�(aoo � [��� <br /> ���+�FQS� ��-c-� �� <br /> Email Address: �" °i�� Email Address:_� <br /> Phone Number: �I� ���s- �S G 0 Phone Number: ���5� �L� S - �S � o <br /> 1 , � r1S / � 3 �IS �Sov <br /> Contact for Permit((�lame/Phone/Email): ��'��-F "�� �" ���Q� C� <br /> �Jw�o � `� <br /> r � `� F �,J�.�l F3�I � F�F�r � A� uJ�G7��! <br /> DescriptionofWork: YK�N� DQ1v J - <br /> (A drawing or plans may be necded to illustrate�vor4 to be dor�e) � <br /> Site�ddress:�Z�-� J��F �J{= �J�2� Cr (.t�� � �Z� � <br /> Commcnts from Inspcdor durin�; initial inspection: <br /> , - <br /> �� i::'� i�r� �'L�LI\�C� ' - '�� <br /> ' � i_� �� <br /> , . t <br /> �ll L, �„�,� � o �u�7 __, <br /> Ic��� Y o�� �v��r;�-i r <br /> T.^ �il I I�_ J(:'I_�Il�r' __J <br /> �pproved for issuarne by: .____ ---- - <br /> Date: _ __ .— — <br />