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5io8 14:J7 FAC ,--__ '_. -- �002 <br /> APPLICATION for � a3o6 -o!S <br /> PUBLIC WORKS PERMIT ' <br /> , pUBLIC WORKS DEPARTMENT I <br /> 3200 Cedar Stnet <br /> Everctt,WA 98201 (425)257-8810 <br /> I <br /> : Date � � �'�'� I <br /> �Ci lit�% �1-17`h.J <br /> Owner Nama: <br /> �i�'� . L " '�� 'il ��'{ APPlicants Namr. ST�'�''� <br /> � ����,P7t/'S}a� /� <br /> Mailing address: -�C'� C.* ������� � `� ,�'�/�`'�� Mailing addrcas: I <br /> ' ��til' H �'�i%/ � l c% � <br /> , <br /> phone number: v�7' Z� �� � �� � � Pha�e number. <br /> DescrfpHon ot Work: ,_� l' �r '� � ;' <br /> , <br /> T <br /> Site Addr�ss: � �J. 2�' G.'����ti� �'`� � <br /> . � 'I <br /> { <br /> Commants from Inspeytoir du�ing initial inapection: I <br /> Date <br /> Appmved for Issuance bY <br />