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n <br />OD �I17/OBOD ���o/ <br />APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPART+IENT <br />3200 Cedar Street <br />Everett, WA 98201 425*257-8810 <br />Owner Name: C f`''': ,� �� 1�1 ��� <br />Appllcant Name: <br />Mailing Address �1 �01 I-I �� G R[ A �t S�L Mailin Address: <br />M ��<< ri- o -„li D��i'7� <br />Phone Number. `� 0 E - � � = - � � � � Phone Number: <br />DescrlpHon of Work: <br />l� � c c��l-oi3 <br />oatc u - Z � - I ( <br />T� F t� o v n t- a r �� a 1-I � r o o,� r ofNr/1 o%G�1 ,� �c <br />�s� � �'r -!�; ' ; c; ��For' <� 2 -':�-',�f-� <br />.;,. -_� r 1 S�+F ��N� j�OUNUA'r/v,J P�D <br />(A drawing or plans may be needed to illustrate work to be done) <br />-� <br />SReAddress: i_( �; ]� �"�� ��_: I� ;�_ i E �J �- i_�i_i� <br />Comments irom Inspector during inHial InspecHon: �� �— 2L '� � � <br />��jL iBT�i G' �-GD ND7�S ��• C�! 1`t' LiNDn19-rv. <br />�-arAo��. � Ghi /a-�v�.ovnz � DPi�.iN3�s'e✓) l�rt9.�k � AS SrsoNrJ <br />xro �An�r� vs� 2�v�g� f�c�Qvlrr,�.rj _M� `i/Z9/zoAn <br />Approved for issuance by: Date: <br />