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_ _ _ , <br /> �� APPLICATION for <br /> PUBLIC WORKS PERMIT <br /> -- �. PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street b 0�. �D <br /> Everett, WA 98201 425-257-8810 �� � <br /> Date �f��( ( Z �(� <br /> /—; / • � <br /> Owner Name: f, «���C ( u'^�w��?�Applicant Name: J� ar ✓.t� <br /> Mailing Address: ������ -s� Mailing Address: � � � /"!C{,G( .J� <br /> ���'—�'��T�� `����� �e��e'77� Lt/� Y'�'2�� <br /> Phone Number: � 2�^�'� � �(�- ���� Phone Number. (�Gp� ���`C� "���� <br /> ' � / <br /> Descriptlon of Wotk: C'��Ct r� � (;' � �(Ji� J �p S'�;�r�,r>� �j�q,,,�� <br /> i � /� <br /> C( �C����� •-�r �P C�-1 :��'��i�'�r .,5� �� ��Z / /�lsll�r S� <br /> � r /J�, l.'l .� <br /> 7 f_.�1FG'� �!C',-�p �/� �-fr � � <br /> (A drawmg or plans hiay be needed to illustrate work to be done) I <br /> SfteAddress: ���Z � �1Crl�f^ i� ����U� • <br /> Comments from Inspeclor during inifial Inspectton: <br /> !`•�� ) I,1 � . r,�l✓G Si S �n.) ="y�0'%� S�r.517 lYUG � �u � /4R.L?�,i_ <br /> r��� ��z'vF,�>:l:`-( - ri,�,`�-X {.f3iL�-(v t�Zrl �,/f�y �( � Z��2ii Nc) <br /> ;�HJw ,uuST aE G�diN� c��� �����rc . � �-jz-/o <br /> PR�v�T� s� DU <br /> �r�,/r ,. <br /> ; <br /> � <br /> ApproveU for issuance by: Date: <br />