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��,f'!. `"b <br />.r. ��+�' <br />:'i:. <br />:��,,'�y . <br />� � Iso�- -oa � <br />� -�b ��S <br />Applicaiion for <br />Public Works Permi4 <br />Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 425-257-8810 <br />Date: ���J /� ) <br />Owner Name: � 1 �C' K��.�C� Applicant Name: RI C�- L1u /I P.�C� <br />Mailing Address: �� /�5 � `� � +lll '� �`��a lin� Address: ���1� <br />�al��s�1! ` ..���D <br />Email Address: �Ol-(���-+S �1�1?��CcX�inail Address: � n'l-! <br />Phone Number: _ �='oc����' � Phone Number.�S <br />Contact for Permit (Name/Phone/[mail): c�� <br />Description of Work: <br />(A drawing or plans may be needed to illustrate work ro be done) <br />SiteAddress: `7vlv �,7�t�v��-' i� <br />Comments from Inspector during initial inspection: <br />Approved for issuance by: __. Date: <br />