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I�W ►20 �-o►�- <br /> r;.-::., APPLICATION ��r <br /> t��" pUBLIC WORKS RERMIT <br /> PUBLIC WORKS DEPARTMENT <br /> ,�El! ETT 3Z00 Cedar Street <br /> - "�`' " Everett, WA 98201 425- 257-8810 <br /> Date � �Z= /z� � � <br /> -� � �I 14,�LLG In/1 l�t (,�� ��- <br /> Owner Name: ^5p� J Applicant Name: r ` � <br /> Mailing Addiess: C�o �1 G j � ��`� Mailing Address: SG"� f' <br /> [_��/t�'C�/ �/�G7�..�.�v I <br /> L C� Z� Phone Number. 2 �� ``-7 � Z-- �Z�� <br /> Phone Number. /L�� �S 2- ' � <br /> Description of Work: �"' � 1 <br /> (A drawing or plans may be needed to illustrate work to be done) <br /> Site Addresr. `s' ( �=' j�""' '"� �'�'�"� \i� ' <br /> Comments from Inspector during inifal inspeclion: <br /> J �� � <br /> � - �� � , C� S`� , <br /> �� <br /> Approved for issuance by: Date: <br />