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APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 (425) 257-8810 <br />� <br />Owner Name: � / J�;' �� <br />Mailing address: �o Q,S� ,S�Sff�fii � I <br />�i�r,o�� �,//�9���'S ` <br />Phone number��?5�,.,?� — '� l., ?/ <br />Description of Woi <br />Date �-�%�Q� <br />Applicants Name:�Q� �� �'�. ,��� ( ( � <br />Mailing address: � <br />Phone number. �f�2_S`T/�� .Z���' <br />Site Address: � �- �.ep—' <br />Comments from Inspector during initial inspectfon: <br />�lr.k+��� dr�sPecriCrc <br />KIRK BROOK& <br />up'i � f� j��_L�. <br />���5 <br />Approved for Issuance by: <br />C� Lv v� P.� ��NT <br />C.�P � w � l � �In��a��� <br />�,� �� ��e,� �'t I S Vl C�1St <br />n <br />Im � A�,.� %�,�o�aa�i <br />1 1 1� _I' <br />pl'G�iH] I��to `7�1i1 <br />� Dv C� /P <br />� � �� � <br />Date <br />