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, � � <br /> x':�;��.�d;: APPLICATION for <br /> ' �'� PUBLIC WORKS PERMIT <br /> '� <br /> , PUBLIC WORKS DEPARTMENT <br /> � ��_� En 3200 Cedar Street <br /> ��,i,;::., <br /> `�'� ' Everett, WA 98201 425 • 7_57-8810 <br /> oote �u�.1�6 1 Z� 2D� <br /> Owner Name: R�►U1�hL D151�SHL Gf.1 Applicant Name: ��� MLDDLE'jD�+ <br /> '72 9 134� sc: S.W• <br /> Maiiing Address: 5� 5• �A��H � Mailing Address: SU1�Cr Z.DU <br /> SEa,c�'�,wA q8�34 EV�R6Tt. 99�. <br /> Phone Number: �SOQ, 3B'4" rJ (O�'� Phone Number: .Q�Z�) 7�� ' 3 B� <br /> �1cW� AR.T N�A1 f1S A��N � W 61�►9Eu- J o 1'rt�15� <br /> Description of Work: ��V 1N6t AND DRAINAbtE IM4R17VEM�1'S TD <br /> PpRT1oN DF EV�RETr TRA)J'S��R FAGILYT'�. <br /> (A drawing or plans may be needed 10 illustrate work to be done) <br /> Site Address: _�.t� rJ R��I rG'RS�D'� (�.t`J}�D <br /> Comments Irom Inspector during initial inspection: <br /> Approved for issuance by: Date: <br />