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�;„ <br />�;; <br />�i,:: . <br />ETT <br />Owner Name: <br />Mailing Address: <br />APPLICATION for � <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 425 • 7_57-8810 <br />�11�'_C����QvL�G.- IS�i'1{7�'b.'' ApplicantName: <br />�. �- . n��� ����� �� Mai!ing Address: <br />li���.'vt �,� (,1�� `�JZ(J%' <br />Phone Number: ;.�-� -�j � ��4 -J,) `f �� �'hone Number: <br />Dale <br />M?L`G1? � St-�'L,�OeI/.�„ <br />-�>�,�. <br />�} � `� � �J % � f l �`� �• <br />� <br />Description of Work: �t'S�V (Z�c:. �i;`��� (_C�' _ i" C1C1`>ill��- GS 741C�L�" i�l,Uc.WLc i� �7�t.L, <br />fti�u r��tc� �lti-h�e. ilti� exi�h��:; c+�-a�titi�cicc s�is��� �� a_ cml��C <br />(A dra5�iing or plans may <br />work to be done) <br />U[c�ta� , <br />SiteAddress: �"7l%I�% ��Li CZ-I'l ��i� �-�Y'-��.�.lf�� �iu�-C%�j <br />CommenTs from Inspector during inifial inspection: <br />�XI S77/ti�L, i/.lrzp �r�•-�iN � /ti� u5T �.x� �/allc�'D ��i� <br />Ct�7t'��2E� Sj�2Jr�y[�5 �JlTf� ��/9F�lC J��3'r'Et� -�c✓L��7�5 <br />� C ��o�� ,�1 � �i�: T_�%[��r}� ,�� � - `� - °ER <br />Approved for issuance by: <br />Date: <br />