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APPLICATION for <br /> PUBLIC WORKS PERMIT <br /> PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everett, WA 98201 425257-8B10 <br /> Date Auy 2'L I a01-2. <br /> Owner Name: ' 'C, v� - i S) Applicant Name: .�u1\G CV10.� <br /> � LL <br /> J �_ � Z c % c{ +h Arrenwe, ope <br /> Moiling Address: 1C>D cSa‘rce,Cenktr Mailing Address: Su <br /> Lt,t,n,.WCod , w4 cl O .(9 <br /> CAC) <br /> Towc,r3c,o pc o.,iso %Ztos Sid FsB4 OSl CO do <br /> Phone Number: 51;(0 4c,t_v pt..*G -tA4lor- Phone Number: Steri 5-q3 44 (02 ce (1 <br /> 3 -(kstacylk <br /> Description of Work: X Ca.VO- G,Are as Q,,RX coy-'1 u-Lc, <br /> IteSt ‘-yo. ‘/Sv a v1-4- <br /> (See- <br /> l4(See- c ac �-OcuaoiC k cis <br /> (A drawing or plans may he needed to illustrate work to be done) <br /> Site Address: R � .e 1 fee Y`), W av) - E v C- (l.JOa S h t yeU fv <br /> Comments from Inspector during initial inspection: <br /> Approved for issuance by: Date: <br />