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ry, APPLICATION for <br /> PUBLIC WORKS PERMIT <br /> PUBLIC WORKS DEPARTMENT <br /> •ETT <br /> 3200 Cedar Street <br /> Everett, WA 98201 425-257-8810 <br /> Date cb Zl ll <br /> Owner Name: 1\AL'‘C-L-12.- I Ailey Applicant Name: �✓ �Le (?-�iA.)e( r/x <br /> Mailing Address: 2_ i 2 0 G Mailing Address: 2-1 Z -G c <br /> q$Z01 Ea/e �(- 1,,..E <br /> Phone Number: Phone Number: 1.2,S---) 3-7 7 <br /> Description of Work: Css' l �� C- G � c .� cam( 2r,` i n � JG�C G ary <br /> fL <br /> O OQ Vce_ oc - (2_70 KZ_O (6,) <br /> (A drawing or plans may be needed to illustrate work to be done) <br /> Site Address: Z ) Z0 - G6o cR-1 -, 9 Z <br /> Comments from Inspector during initial inspection: k(( I 1 <br /> fits- emu,',T p 7 , 1Siv xrvi pi er A/6-1c glit) r °(471e; <br /> 6/Ua i/U�€5 . <br /> Approved for issuance by: Date: <br />