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(ci <br /> APPLICATION for �-�° " <br /> PUBLIC WORKS PERMIT G <br /> PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street po 62041- o°7 <br /> Everett, WA 98201 425-.257-8810 <br /> Date S L /lb / 03 <br /> Owner Name: af--(E- t gE-I`fltJCCApplicant Name: KEs<J ( F C C <br /> Mailing Address: -1 02- '\CND`Wh W Mailing Address: <br /> wfl TZ)( .E <br /> Phone Number: <--j7 '1/ S.S.Cfl Phone Number: <br /> %o Co 'S' (91 6-"' 6u.1 l�N <br /> Description of Work: ;0\� Pd2 -70 ( roE S C-C' r501--LErc <br /> C(T eA-GZ \ ( S P ALA CZ <br /> C QSL5C ?Af-Kt NIG "tvAI LII Pa iZ ES)u tf, <br /> (A drawing or plans may be needed to illustrate work to be done) <br /> Site Address: 1(c2- '(�/����� �)1 Vv 06 1,,1A 0l3201 <br /> Comments from Inspector during initial inspection: <br /> Approved for issuance by: Date: <br />