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� <br />�� <br />Owner Name: <br />AFPLICATION for <br />PUB�IC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 9P?01 (425) 257-8810 <br />Mailing address: `- ��� G�f.. %�� : � r � : ;= <br /><-,.. � �,-; � ,�� <br />Phone number. ' ' <br />� Wo�c�-c�c�� <br />11� T� L/ <br />Date " � �'- � � ! <br />Applicants Name: '�� ^� �` <br />Mailing address: �' � F <br />- ,,- �z,.-r <br />Phone number. - �- - ' <br />Description of Work: ��� � F ;�Fn�r o�'rl � � A 0 u � i`7�:'^'i' � � � a z� �' s �Tf <br />I•�o�• ��, <br />4 <br />Site Address: . � � ; , , , � - :-,� = - � y� % UJ /��%� ���o /.� �u ��( <br />Comments from Inspector dur(ng initfal inspection: <br />�� ,-- <br />j;,�„%�'� f��t�� c�-.->,��:c ��r f�� M� iC� <br />�/�� i�iE' %�U6Ci�G Wor,Cl SnS��c1�GY"� Ti�s��✓c�icqsr <br />S r?�.�jJ ���d ,���'L'C�J C�Clr. ��C��� �/n�:'S <br />� � <br />Approved (or Issuance by: <br />saoin�aS 3lwaad <br />11�H��3 �O �lll� <br />aLUUZ 9 n d3S <br />,jJl�'UIJf=�I�,�, Q <br />Date <br />