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APPLICATION for <br /> PUBLIC WORKS PERMIT <br /> �'f,,J fTT PUBLIC WORKS DEPARTMENT <br /> •� 3200 Cedar Street <br /> Everett, WA 98201 (425) 257-8810 '���pC���' <br /> Date 7z oy <br /> r / <br /> Owner Name: `T.�r- ���e��— Applicants Name: 7��C rf5 �,�� <br /> Mailing address: ,[y'�y L�ouc"T�1z-'��✓a� Mailing address: _ <br /> �i/c�zC.� !i✓-f- cl��/ <br /> Phone number: �lZ�-��% ��G� Phone number: � <br /> Description of Work: ���uv�� l�K� n' ����17�PrAcE�" %7fc"r �c'T°r�✓,..✓c� �„--��. <br /> a✓ TJl�r 5U�7�- S�oG� o� :ray /,��-+SZi 7lfc-s�G✓AL� L/H/G>` <br /> T�}� S//JG�wiY�C, SGr� N'!f.'P �Z <br /> Site Address: ` ��Z ,��«=��� C— �[-s <br /> Comments trom Inspector during initial fnspection: <br /> Approved for Issuance b}�: Date <br />