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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 />F1f�,ern <br />Owner Name: 41VO15 LI� ?t' % /-/G <br />Mailing address: b R7— lbw t7*. 5/ <br />�7 96 °�-- <br />Date <br />Applicants Name:G <br />Mailing address: 6 <br />CSC tiy / �Gwj.S 17y/i SiyD cf/g <br />Phone number: / ZS 5,37"-07C/2— Phone number. UZS - 331 �7c1Z <br />(j"5-- 33 y —oR �3 Z t---- <br />Description of Work: CX. 4 (-y41111 .5 Z-L <br />Site Address: VP 2 3 $, �/��. UL <br />Comments from Inspector during Initial Inspection: <br />INITIAL INSPECTI �• <br />KIRK BROOKQ <br />DATE <br />Approved for Issuance by: Date <br />