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�' �C�'i"c�r''IG7 i.- <br />� �t� , � <br />�'� <br />I�c,�c�a� -�� <br />APPLICATION for <br />I�UBLIC WORK� PERMIT <br />PUBLIC WORKS DEI'ARTMENT <br />3200 Cedar Street <br />Everett,lNA 98201 (4250 257-8810 <br />OwnerName: .�Oh� 0�- FVGrG� ApplicantName: <br />Mailing Address; p Q• �UY S38 Mailing Address: <br />FVCrGit, wA q�Paob <br />5 �� �' .� <br />Da1e � <br />�iu�� tr <br />R�.ii/ /rli oh Ti�c. <br />7��`��ki�'aoo <br />�ii r��/ l✓ ��lL <br />PhoneNumber: %�,5—�v—�630 PlioneNumber: �ds—]�f�-3�00 <br />Gon'�7t� ` �o%� �f.LtS �N'�cf • /�iu�� ���.�^ <br />Description of Work: _ <br />����Sa- 1'�naV'Ine..�`IiLJ I�Y'. <br />�>"FV'..�"f ZL�n'iY��l'Lw:�'�� <br />1���`J ` `�-f s <br />Site Address: <br />0 <br />s� <br />a or pu <br />��1 __ <br />� <br />may be needed to illusirate <br />', G�lt��.-1-� -.__ Vr.o„' /�, <br />Comments hom Inspector durfng initial tnspection: <br />� , ��L�/-C �c• Q: c�'.:�-c� /. _ ��4: S 2f�%'r�l L�Cv OG � <br />�i� <br />to <br />��►�a.ai�.�G—=-_ <br />/�c-08-v� <br />Approved for issuance by: Date: <br />