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APPLIGATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 (425) 257-8810 <br />Date � - �� -�' <br />�\ � <br />OwnerName• � OnJ '}"' � � ��%-�C ApplicantsName: <br />Mailing address: %�f � �i� j/lLl9l���� Mailing address: <br />�//'.c,t° C TT, �,�- <br />� <br />Phone number: �� �f 7- ���a <br />C ��'� c�5_�SD—��Oh <br />Description of Work: i`�jOV-C. �/� � � <br />w <br />Site Address: � Z( � �-i (C� �t ��✓1C. �,t�, <br />Comments from Inspactor during initial inspection: <br />Phone number. <br />��cc,lc. x I Z ' <br />._--. - ._L�.. <br />Approved �or Issuance by: �C_� _ Date 3—1 /—a7 <br />