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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 /> Date �`rr �l <br /> Owner Name: ����1' P(�`z°'r`� `� Applicanb Name: C�^^ `fit' � �G����� <br /> Mailing address: �`� �'�'� � Mailing address: Z Sz� '� �"'n'� <br /> Nz r - zsz oyy9 y21'-�sz o yv9 <br /> Phone number. `�2 S - 3yf - O�p/ Phone number. y? S 3 ys'- o�P�! <br /> Description of Work: ���f ��'c� 7�//� 0 U't'� f'�� S�O� � S�vrs <br /> D/f�,a�i�� j L,. �ti �W1N <br /> -t= <br /> � ��� INiTlAL INiPECT10N <br /> Site Address: 2 y�' �f°� ��' �� �'a�� PAUL McKEE <br /> DATE 8 S D I <br /> -iilKcd w�� Kcrk ��d re�evei tiobo+�o-F s+b� - <br /> Commenb from Inapector during initiai inspecUon: i5 f� ��''�� 5� S� ����'� <br /> ;, �i, i�-, F� �i, .�c bvr�,�,c.GGc , „ � E rn�x� J� �te �D+o b�0�G. - L��Irc�,�-t na7�is � <br /> ` z�a7k,, � �}ttnn;nJo -�ur f�asv�a�Lc. uSe. . _ ��/01 <br /> l �' ,e <br /> - � ,:_, , �� � , , � ,-��i F�'`��� <br /> � . i. , , . <br /> �i � , .;, � , - , <br /> _ ,�lV -� � � l � l/� ���) � I � ;`"/ C�c;� i4�p�l,-cr�►�'� � <br /> C',�. - ��� � , .,�, �c � - ! ,_ ',�.{-►vtGsfR�2. 8���► <br /> � � . � • , � , , . �� �. , 5� <br /> � I: i <br /> • � ��, ' ��"� <br /> qpproved for Issuance by: Date ✓ �` c��� �l/ <br />