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/-'LC�QSC� er��¢r ih�c� Ct9H7��t2v' <br />Tha-,,As. <br />APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />32.00 Cedar Street <br />Everett, WA 9820.1 425- 257-8810 <br />/ Date <br />Owner Name: ll <br />Applicant Name: L ` <br />Moiling Address: &%Gy & FL V Mailing Addiess: <br />Phone Number: y�s ��j� yw6 Phone Number: <br />Description of Work:/L'GL� Gcl��9rGGce' .s/ .7/r /�//? 7/-et <br />M-���� <br />�r r��l� ✓e�vr�'ll�i �f�e��� <br />wox <br />(A drawing or plans may be needed to illustrate work to be done) <br />2, Gt J i% . .u. <br />Site Address:Gt%��j%�_Gtc� <br />Cornments from Inspector during initial inspection: <br />Approved for issuance by: __ _ ___ _ Date: <br />