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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 1 114 /ri,( <br />Owner Name: <br />40.ckso. KooC L« Applicant Name: <br />II ^^ --- <br />Mailing Address: 36" ( h� f �� Moiling Address <br />Phone Number: y25 z59 9000 4, Z Phone Number: <br />Description of Work: C��� °�^� !� �R <br />oM -- <br />-- �'r .t k (&f l( -. <br />(A drawing or plans may be needed to illustrate work to be done( <br />Site Address: Sw cor,%4r-- <br />Comments from Inspector during initial inspection: <br />4-o Sew <br />AMN 64t'4 7 <br />Approved for issuance by: Date: <br />