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P« 02Q3. -o/D <br />APPLICATION for <br />PUBLIC WORDS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3203 Cedar Street <br />Everett, WA 98201 (425) 257-8810 <br />I <br />Owner Name: <br />Mailing address:/9/ S- /, v c <br />tJ 9f�20 7 <br />Phone number. z-, — y2 Z- Z y 2e-- <br />Description of Work: �� ✓ 4'� <br />Site Address: 1? /5- tJ, Iti-a-.&O <br />Comments from Inspector during initial inspection: <br />Date <br />Applicants Name: <br />Mailing address: <br />Phone number. <br />Approved for Issuance by: _ Date <br />SA "-,L- e <br />