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�-- <br />�;�,: - <br />�; � <br />�,�'c.. _E4f E7i <br />r�i' ._ <br />API�LICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC VJORKS DEPARTMENT <br />3200 Cedar Street <br />Everelt, WA 98201 �25 • 257-8610 <br />�y f,j�M��,T„iG Appllcanf Name: <br />Owner Name: <br />Mailing �dciress: -�7(O ��_ W��/iaA��O ,{� Mailing Address: <br />�— n .1 � g���� <br />Phone Plumber, �(�_�L���Z �'hone Number: <br />Descripllon o( Wark: <br />Dcfe �f��, /( <br />.rfoi.iCOrV �i/�<< <br />r <br />�i • <br />�s = � S� � �3 0 ! <br />�y�.. SaYo.z-.� <br />(� drawing or pinns mny be neoded to iliustrate �vork to b�: dona) <br />Site Address: � <br />Comments Irom Inspector during Inilial inspecfian: <br />' � � S 'J�rc'_ V � 6 �' S <br />`�—�'t I l i; '..,,'.��� ,� j•� ; G� 1 S � <br />�� �� J� � � �r'�'�s ���V ��t � � - <br />; ����') <br />� <br />Approved for issunncc by: _ <br />Dute: <br />