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� <br />I _�':'�' <br />* �e�e.c.�C.e. <br />`{�,JI l iD-U1 �j <br />APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 425- 257-8810 <br />Date �� �' 7 �� �� <br />De-�� O% i� A Iicant Name: �` i/G ��lc��q <br />Owner Name: P� u <br />Mailing Address: �a� S��-�"��k� � iling Address: -5��- <br />�. . <br />�-{��, �/'�' <br />Phone Number: �yZf� 3QB�060�f Phone Number. ,s,�t.�� <br />Description of Work: �' <br />S�i4 <br />' S �d-� P►�p �'' k <br />� <br />sriN.E cNS <br />' y�°J/i!'GfJ vf �+Ca-f ��i+wr J'� <br />2 �ve+.../•rr.%N P/a+�)�!7/.3(ruc <br />Ning or plans may be needed to il <br />�/'r��rft�J� O+f <br />�..h�% w� y"�tt r'..i/ <br />t �- ,. <br />�_:y %NOc� • 'fF <br />;.i��G,•%:�1 D��/e <br />Site Address: ��a� ��� /�'%✓�"* l�u.''��'vt , Li"G.c"`%zGs//� <br />Comments from Inspector during fnitial (nspection: <br />Approved for issuance by: <br />� �,-�-�G�'`'� _ Z�o <br />� ��� . � � <br />�- ��,�,k � � . .�� <br />- G°��-�i ���,� <br />Date: <br />r�r,ctir � G.- <br />� kry/�,,..�. c.�,.,,. <br />/c!A'! Firi� �•Y• Cn...�v/ ��a-� <br />I' <br />c,�- M / � %--L- <br />