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� <br />� <br />APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 425- 257-8810 <br />�;���-u(3 <br />Date (p—�r-ZO/ O <br />Owner Name: 1.��✓> ���� `( Applicant Name: ��� �U��S`"/ <br />Mailing Address: (1/W� rnL�l,��c �� �- Mailing Address �n�C, <br />�l4np-�� I,�nA c]$203 <br />Phone Number. �as -?� �f 5_ Q 5�/ Phone Number: <br />Description of Work: '"-e-� G-� ^�, <br />Site Address: <br />2� � � <br />drawing or plans may be �eeded lo illustrate wo�k to be done) <br />Comments from Inspector during initial inspection: <br />�%�rt-ll L1� <br />Approved for issuance by: Date: <br />