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r;, <br />,•ti,:.. <br />fv Err <br />t'�. _ <br />_ _ _ --_ _ _ _ <br />� <br />._ ----- -- -_ _ _ ._ _ ._ <br />��Gu I SI� --032 <br />APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC 1�'�'ORKS DEPARTMENT <br />3?.00 Cedar Street <br />Everelt, WA 98201 425 • 7_57-8810 <br />�ate <br />%I E' l'Q �/1 1n��ew C� �` o a.r <br />Owner Name: Ap�icant Na.ne: <br />D 3 � /� � n. <br />1A"1�-G <br />f�1a���iina Address: `V Tv��Ql�'� FAailiny Add,ess�. <br />� C L� � � �'"/.�' <br />Fhcne Nur*��ber. �jb G 3 �C � � � �� Phone Number � � J v � �KJ � <br />Description of Work: <br />Site Address: <br />Q ��- ��?�//t� <br />(A drawing nr plans may be needed to illustrale �vork lo t�e done) <br />d O � � l��c c� �-/%f�1�a �.� _ �Y���%/�, <br />Commenls from Inspedor during inifial inspection: <br />Approved for issuance by: Date: <br />