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w <br />APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 425- 257-8810 <br />Date D , (7 -6% <br />15Sq �i �qc� Applicant Name: /I` l 16— 1 s"Fo;%h tk <br />Owner Name:' ( pp II ( <br />Mailing Address �� G H 1 4 C Madinq Address: <br />Phone Number: 1 L/Zrj� cj - �j Z W� _— Phone Number: (y� )0 70 jzrs <br />lr <br />Description of Work: ,qZ Mtn <br />(A drawing or plans may be needed to illustrate work to be done) <br />Site Address: 290$ t 1 t kLar,,,N_!.L/ — <br />Comments from Inspector during initial inspection: <br />AUG 1 3 7OC3 U <br />I <br />CITY OF EVERETT <br />Permit Services <br />Approved for issuance by: __ _ _ Date: <br />