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APPLICATION for <br /> PUBLIC WORKS PERMIT PW«Cn-CLS <br /> � PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Fverett, WA 98201 425� 257-8810 <br /> Date C!/'l � '�D <br /> ' ' >� > <br /> OwnerName: �� � ���� ��'��_ Applicant Name: � ' '� . � r <br /> � <br /> IJ�ailing P.ddress: 7L1( �J�-rl�/���t�/,�c Mailing Address: � '� ' g ��'?O� <br /> ' G' <br /> 2/Z�J- <br /> l <br /> �7.� <br /> Phone IJumber: Phone Number. ���� �j��'—�o�-' lj <br /> . / <br /> DescriptionofWork: ,1.,Clv���/,✓�.•^4'0 <br /> �A drawing or plans may be needed fo illustrate work to be done) <br /> n ,� o� �/ <br /> SRe Address: r"��%% �<��j�-�E'���L ���` Ji; i�N // �G./„� j����U/ <br /> Comments trom Inspecior during initial Inspection: <br /> �" � ; � � i�ifi �l�.c� �vi�f c ��r�� ��{<ti.�7� =Fz���/.Sc������ � <br /> ��,: t�� �C i�l, � �0 ��0, u> � a <br /> �-/2�' r19����n�crm lZ����f S<��ll ���f �iXr'��c1 �2 " i�� �2e�G���,�i�C�� <br /> li� .�21C G�-{v� ri�t9 f� - C���- r���.�" ,���tSl i��. Sd �vf -�XCeP� �7 " i�l <br /> � <br /> I'ZC�l�I'��� <br /> �J <br /> Th M1�. I � d <br /> iv r��iuru �� • <br /> Approved for issuance by: Dafe: <br /> .� <br />