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APPLICATION for <br /> PUBLIC WORKS PERMIT <br /> 6.0 <br /> PUBLIC WORKS DEPARTMENT 4 5 <br /> ETT 3200 Cedar Street <br /> Everett, WA 98201 425 M 257-8810 <br /> Date C ? (© <br /> Owner Name: j SSri g‘.An e Applicant Name: :Soe l Carper cicivd)' <br /> Mailing Address: t0 3 (,gip A" P,ut',C; i-eo (30Mailing Address: 5MA/l. <br /> r'* WA 9 o3 <br /> Phone Number: 412S- 73) ._ OG Jr-a Phone Number: 5i9- <br /> Description of Work: t jav\{ivx Cohne_G* oir►v ck. Fj pp_ a d�,v,eway <br /> e j „ u r r To 6cielk 1 1 a o f fLJ o to ��o►� p� <br /> to1nk <br /> (A drawing or plans May be needeid to illustrate work to be done) <br /> Site Address: to 3 o 3Je..s- fi[vet t/�f'z,11 1 fd A 9 ),03 <br /> Comments from Inspector during initial inspection: ef-xl7`✓4- "/"Lc ,97vp Di re <br /> `4/17cCST rib Ivt 7 A) / t I N/ j-z ‘ ova <br /> L9 <br /> ca.,ec 7tert ta --(c) t,042,1 s76-1,71,-p <br /> 7A - 6('O' <br /> �y'a 6 (©�76-0 G G�iS n ea ci, �D h suL� W/ <br /> ma_ boovkS mcpeC710)^ <br /> Approved for issuance by: Date: <br />