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APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 425 •2_57-8810 <br />Owner Name: �<k �1^I6 (UJ)yl Applicant Name: <br />Mailing Address: yZtl /Ya L�� ✓ Za rLjLMailing Address: <br />C Lt/A <br />Phone Number: Phone Number: <br />Description of Work: <br />Site Address: <br />Date 10 1 113 <br />c k d I ill v.-'tru.�ta xnt. <br />`470y 9a k4:,:1v Z-a4,-,c— <br />qZS -ems' 0 <br />(A drawing or plans may be needed to illustrate work io be done) <br />Comments from Inspector during initial inspection: <br />Approved for issuance by: Date: <br />