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� <br /> - -- - - -- pW � ydy � �03 <br /> r��:<r•�::.�:. APPLICATION for � l <br /> �' �>•.:=;,",.` C�. <br /> �'` � ' PUBLIC WQRKS PERMIT <br /> , ` PUBLIC WORKS DEPARTMENT � � � � //; <br /> ,�'° ,�'vE ETT 3200 Cedar Street . ` �i���� ;= �� � <br /> "'' " Everett, WA 98201 425 • 757-8810 � :% <br /> , �G <br /> Date y-I- !`f <br /> Owner Name: Pdrf D ���'�" Applicanl Name: �-s•1 Fue��" <br /> nnaain�nadress: PertaP�i,�e,tt M�uiling Address: <br /> �9++.,:6��n wn.•taku <br /> P.o. Ciox s38' v--__� s�- <br /> EU��,tJR 987A1. <br /> PhoneNumber; y.Z5� 3fi'8-OCcl3 PhoneNum�er: •{.�-3B8-GYoI� <br /> Description ot Work: �uu,/ .Q7g (/ice,�.S�awtdt�_.��+����¢��� PlL���"Sace�toP <br /> Ersn� a}- �Ce Po,-t�'s 2'�r��i�k ch.,,rp.�o <br /> Pe_rnr.�e.t smA *iz-e� lrQo��ce�__-�—u�-k . <br /> (A drawing or plans may be needed to illustrate work to be doneJ <br /> Vi�irt.r;tfy e�' R�i/r�sJat.� Liuni-nc�e Pe{(�� - <br /> Site Address: �5'6( �,a}- IRsvut� (�ri,«Q�U�y_�_yp1�f� (U��f8ZU1 <br /> Comments from Inspector duriny inifial inspection: <br /> I <br /> � /'.A . ,�r �� �f� �/�iD <br /> �.( � <br /> i •i ' . <br /> Approved (or issuance by: _ __ _ _ Datc: __ ^___ <br /> �`I�i <br /> � �c� <br />