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� <br />�� u �t:�. <br />1 <br />'l:i. <br />• ;¢fY � fTI <br />.,,,,r�'.:�:` <br />Owner Name <br />APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 425; 257-8810 <br />PILGy��r ra,�,t¢wc�saS Applfcant Name: <br />Moiling Address: P• 0. noK a. S7R Moiling Address <br />rt�kl....A �.,.g 9 8og3-aS7`� <br />Phone Number. C/��-_ qt�. G]4T Phone Number. <br />��(i� W I�low� e Ye t.� To <br />Dafe <br />y-8- r c <br />C.�rl�r� /!2}�r2 <br />47�5 I 14 A-k N� <br />STE a�� K-S.I�.I-�d Wd� <br />�vG G�o �S'{� <br />Descriplion af Work: ,��fz ""'s�i a «� lacc to ..�•�.�a�+•-. <br />Gt,��hy� � .S�.w�e �iS Q �"er7�c�femay� i�r. �� C'X�S{/•:� <br />�� ��, �Q � n �C oS v rC� , <br />(A drawing or plons may be needed to iflustrale work fo be done) <br />Site Address: 2�3� �IN�sSa- �/SNSF 7Y�..E�� `Yt P i 7�3. a-? <br />^—� <br />Commenfs from Inspector during inilial inspection: <br />'��� C��� S�mc��s C'CPG� Q� aC� "�/Ir� <br />— Q �+f' 9s-o d! �,� <br />$G �,..�UroCif �'Pf <br />u <br />7o D� o"o{�� <br />�roP��f;e�'_ <br />sl4CC ho� �i�,r���-� �/,� <br />oi.�c � <br />— NG � GOl! /LLUJ� NoT t�Kcr-!p j7+/,' HCIC,.�T o� 7(F_r1G�S"ii,n1L � � Y <br />��m�2 Exu.to A N�rGN% oF �o Ff'f•_� <br />Zo rE� � ' <br />Approved for issuance by: <br />Date: <br />�LQc�se, a c/�( -�� cnw. � c.�,-�� � <br />