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APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 (425) 257-8810 <br />Owner Name: t aql LU V/5ab `i VaLApplicants Name: <br />Mailing address: �i i0 b5%-r1M6r # d• Mailing address: _ <br />Phone number: 42Z' ;Z9O97bq Phone number <br />Description of Work: -{-) <br /><iGV ! <br />1 <br />W <br />Date <br />Site Address: S`I/o A t0A7r &r?0� ; E;"e: " 1 <br />0/4- ! � zoo - <br />Comments from Inspector during initial inspection: <br />eand <br />ole-s , fo 6e dome d� <br />/�uSL <br />ICle. Qhy �2CeS-SGG/ PiY'OS/Oh '('On16-pt! c7S <br />n/iroe/ac/ 6V 7'�4e ""Az" Cx"ks %nsDar�n�'. <br />Approved for Issuance by: <br />Date <br />l a-Z -0 („ <br />lVl <br />