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APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 (425) 257-8810 <br />Owner Name: <br />Mailing address: l q��- L—' Al, kilt n i; i,uD. <br />Gvct etE t uA q, Z o'e <br />Phone number: y?s 34;3-9&y <br />101U �1,12 t)0-3 <br />t 50 .n L. <br />£roy;c„ <br />Date 17- 4- E, <br />Applicants Name: -i> .tom c 7+�V <br />l�r c-�Grnee�•;,,y <br />Mailing address: 2�'Z� Li4i' lire _S <br />-Co <br />Phone number: `+ zK-- 77 <br />Description of Work: S LEj �z,A S'%ry- t ' ik al•0 <br />Site Address: l41S (;' i/IulC;ll 9U/1) <br />Comments from Inspector during initial Inspection: <br />DEC 0 4 2006 <br />EVERETT <br />4, toort: -(o % Gone ) jPZ0,7S 2n5lncc �cd by 6< 6te I (en da4ed Ia/'04/06 <br />Lovrk slle t: Q(so ecill//ohn. 4c) At tALSCn 6-L Cq Ceti nI f nt eefo)-- 0. 4 <br />Slrer<c.�•ct� CejeVZ4i70nS by C'r j G-il ltleh. <br />5, c;4'j s-+rzz4.s A�-, +o <br />ba kep-1 c(ea, a,A g(( 41n,cS. <br />Approved for Issuance by: Date <br />