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APPLICATION for <br /> PUBLIC WORKS PERMIT <br /> PUBLIC WORKS DEPARTMENT <br /> �r 3200 Cedar Street <br /> � Everett, WA 98201 425- 257-8810 <br /> Date . 7 <br /> Owner Name: ,L�,s: ^� Ir c v� 1-�_T�,;�ri applicant Name: s���� KC r c h S <br /> Mailing Address: ,�,��=o A����tL c �L Mailing Address: � 7 �a `1� Z��i �LII�G <br /> .Ft��he� ��d,� �/��, . ����lU <br /> PhoneNumber: ����7- ��v ��1 �� PhoneNumber: � S"- 33� 9�0 5' <br /> Descriptton of Work: � /��i- � ` ' �H i�-. �`���f 'Fro �+� ��� X l d C.1� �o C 13 <br /> oT— <br /> r � tio5 5 ��Rr�� ��-a� . <br /> �A drawing or plans may be needed to iliustrate work 10 be done) <br /> Site Address: �/i 3 3 �/��� N �C �vC�G� <br /> Comments from Inspector durfng initial inspection: <br /> ��: 4�J�ti� � . ii�' <br /> '_'�" �� l- <br /> ,�,� S�q�y .GUARA�H� (:R�T�a. <br /> �kGGelRAC'r dF ;�fi Ntt : <br /> yEE?�i�'�. ?'t?15 �a St-�Ct19Ll� <br /> r,� ��it,��t' AI�!L� <br /> �n�` �tE qi�1���'R�TEi2 <br /> . P �I�IC�i <br /> :p, .r'T�.. ...:.1 , � <br /> Approved for issuance by: Date: <br />