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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 />OwnerName: ��'�"� ��`�'T'�� <br />Mailing address: Li51 d �s-r�„� �Ive, <br />Ever�'�t W �A �g2a3 <br />Phonenumber: �5���`��� <br />Date � ' � � G�- <br />Applicants Name: �rn� <br />Mailing address: _ <br />Phone number. <br />Description of Work: �'LC�VG dr� ve--1.�7o._�i' _ <br />Site Address: `{S � ° �""'"`� �`�`- <br />Comments from Inspector during initial inspection: _ <br />Approved for Issuance by: <br />NITIAL �RiSPECTION <br />PAUL McKEE <br />DATE <br />�=(L=Z.� /iv[�(C'a�iar� <br />i5 �,�- a. �v�.c,�.�-C�-- ! <br />d r� � ��{ �rra y .e.�-f <br />�� ��o� <br />�� � "'� <br />— <br />JYlan <br />