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APPLICATION for <br /> wr'� PUBLIC WORKS PERMIT <br /> PUBLIC WORKS DEPARTMENT ���� �CJ3 � <br /> .;rE E/T 3200 Cedar Street <br /> �"'' Everett, WA 98201 475-257-8810 <br /> Date "5 /l01 I,TI— <br /> Owner Name: <br /> �vc E"r �VN> ki�vE'/ CFr�cSApplfcant Name: �� "'�S �A�� <br /> � Mailin Address: 2�72'"f ^-^--�'�S .AV�. <br /> MailingAddress: I�I�1 1 AG11=1r AUF g <br /> �v E�srT�w_— EvE.�F��w�i <br /> G � Phone Number. r�LS 7 ro� n+'�ia,',, <br /> Phone Number: �'�Z�,; ZS�j -`��,� l= <br /> Descripiton of Work: �� <br /> � T Pn2kl�v� lc r__� rxlcC EnnPr.oyG�� _ <br /> �'i�>iiv3-�Dg <br /> (A drawing or plans may be needed to iliusirate work to be done) <br /> SiteAddress: (OS t'h�G IC - <br /> Comments from Inspector during fnitial fnspectlon: <br /> Approved for issuance by: <br /> Date: <br />