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� <br />� <br />APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 (425) 257-8810 <br />Owner Name: �r� ��e �` <br />S F ,cc� / <br />Mailing address: 2'�.�'% G�c,��'r1Yc� /fu'_S, <br />S�n..ftic lUi� 9cg/3 �i� <br />, <br />Phone numter. <br />Description of Work: <br />Site Address: /H Z/ ,''luki te.G /3/V � � <br />Comments trom Inspector during initlal inspectfon: <br />��� �p2 <br />p�o <br />1 / <br />Date ��S�OS <br />� , <br />Applicants Name: �S ,L�U✓1/Irl�9q <br />�1�1 y��1KS Cc � I �� <br />Mailing address: 3Zcr�l 32"`Q %i��-SoUrh scr_,/� <br />f"�c�1 �A�, wff 98c�1 <br />,, <br />Phonenumber:�2..f3� 8iz`/-CSSsS� � <br />C`�-� f���N( r%�JK�s �us 1� /�c l�-ep�- ci"��=�1 <br />V � � <br />�% U/ 3��5� <br />CL�(�- woRk tv Drc DOdE PE2 PL�Fn/ ���>ro✓tD nti/ �� os <br />TN� �0nlrh"^�NRPeD 56oI�?6�1TS �'(���- SLr RL�NcO✓t)7 rRoNt �-rfc' SriE h�d <br />PrrPo�EO �F �r k�f APPRa�eO wP<�t�n pis/'aSqc F�icicr7'`/ <br />Approved for Issuance by: Date <br />