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Owner Name <br />V�.4"�-...Lt g -#t� � ._.,.<Q <br />�-.�l�-�.7\l7lU-CX�� <br />APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 425 - 257-8810 <br />Date / 0 — � �� <br />��h �` � �' L� ���-' Applicanf Name: <br />Mailing Address: SI OC^ S. �.��7 A�r Mailing Address: <br />Phone IJumber. L�-L�j 23Si �l'� Y�D Phone Number; <br />Descriptlon of Work: <br />Site Address <br />K�,�l� \ Q� W N^'i iZPC,lci <br />� - <br />(A drawing or plans may be needed fo illuslraie work to be done) <br />Slo� 5� 3��� +4Jc �VGrL� <br />Comments irom Inspector dudng (nitial fnspection: �� <br />/�l�Ax��lrcr�i�� /16r�i.-�r To �t.�or EXL�i-O <br />�� . �/��U <br />� r=T, <br />/FF /%1� C?rr> N���-77� 7�: CLJv,2.,� /.d �/CI�T oF �L��,.f 77/� nu�N��2 <br />!S ��'Es�='���v��6cL= F��:� .���v�ti� �n s2��a�i�l<< ��cE�. <br />Approved for Issuance by: Date: <br />