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�� APPLICATiON for <br /> PUBLIC WORKS PERMIT <br /> PUBLIC WORKS DEPARTM�NT <br /> EY`,E7T 3200 Cedar Street <br /> -�' EvPrett, WA 98201 425- 257-8810 <br /> Date �—�Q '�� <br /> � - <br /> Owner Name: �� Applicanf Name: <br /> Mailing Addresz: � I � 7 �rv f�e.- �j�" Mailing Hddress: <br /> ���.,�� (��A �'2v) . <br /> Fhone I�vmber. ��j,33 q ��]b� Phone Number. <br /> �/ �Q 1�2�ve .-.� <br /> Description of Work: N � E!!2� ���•l � �� `'� I/tQ <br /> S� D� w�I�. ��Cb,�c�ere to mt�rc k ►�.e.. O�i ue��nc� .. <br /> U <br /> �,� drawiny or plans may be needed to illusirafe wo�k lo be done) � <br /> Site Address: � � � � mp�-Q S� <br /> Comments from Inspecior during iniiial inspection: <br /> � �C��D�I �; � <br /> JUL 1 0 2��9 � <br /> CITY OF EVERETT <br /> Permit Services <br /> Approved for issuance by: Date: <br />