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7i <br />5, <br />Owner Name: <br />Mailing Address: <br />Phone Number: <br />Description of Work <br />���0 iy'IL <br />Site Address: <br />��e�- "'"Du' `Y' � �a,. <br />�S ��-�a�..r�e , � F-� � � i� <br />�� <br />APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everelt, WA 98201 425; 257-8810 <br />Date <br />Pw o��� - a�� <br />1 D <br />Applicant Name: ��_ w�"�r^� <br />Mailing Address: ��IZS ■• 1 JICi ��to �-�% <br />Y�l ��,1�-c.o �a 4 8 z�s <br />Phone Number: <br />na.+��NG <br />uz�-sb�- y��� <br />,,-/,/e�n���� n � OA�=D Sc�Pr??�iao� <br />t�M--{'�-(Lvwt""��� j't� 7�'�.� �i Q J � P�.� n iC 4 I G"1 G QO (1 Yl < i_ <br />�'e.mur�!- �o-k,Q Oe+y � — <br />(� drowing or plans may be needed to illustrale work to be done) <br />11� .l � � �1-�-e.o l.� D �.e- � A �M<-N-�J /t'1�9.r' . <br />Comments from Inspector during initial inspection: <br />�p�+ S'fvC�¢.'iS C�2av� Q,'� A.�� '1�'lrrR.S <br />, ..-� <br />Wov� 4� �- do� �r Geoie[I, � Arda�;Jf.t '(ZQea�meh�a-{�oh ��"� <br />p L� �rll�� �' r� <br />Nov i 5 �oc� U <br />r_�1tiRE �T <br />CI"TY ��tSe;v�c� <br />P��' 1 <br />Approved tor issuance by: <br />Date: <br />