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�wc�zaz - oiR <br />APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 (425) 257-8810 <br />OwnerName: �.,..��,� ooY�..,a� <br />e <br />Maiiing address: S2o � S i"� ,�%vt <br />Ev<<� i,,/� 9£tza3 <br />Phone number: �f' Zf- 2 S8 � 3��O <br />Date � ' �i�' (� ::, <br />4� <br />Applicants Name:�� f��u Moo�»,a,� <br />Mailing address: 5207 S. 3"f�.4✓t <br />Eva��� W� 9A'to3 <br />Phone number. �_; - z S"9- �> 60 � <br />Q ' / Y � / <br />Description of Work: (�k,/c% Ref"niN�a,s Wa /� O N Sz 5'i�e o��/c� ust <br />VI/rL Li�'v C�, crl.ti.�er'Y ., IA/r L/ L� �/ /� n �'�G '/ <br />Site Address: ,S�ZG'� T S- 3 4`�i¢ v t <br />Comments from Inspec!or dudng fnftial inspection: i�0 UTI L 1 it"3 1 u S� aD — P.�, c� aa � �� <br />�N17lICL INSP�CTiGs'. <br />KIRK BFlOOKB <br />—� .. I� ' <br />'�_� 2c[(' r„��, <br />(JlU�;��I ��;,� <br />i <br />� .. I <br />— � �iu <br />tk°\' <br />1 <br />„ <br />. ! _ .� , � � L. !., � <br />-! . . ..... � i:. , ... <br />�� //J��.,..._..,,... �J,..�ln�I� _;���hP 2�ASi' I�L�,�Oi"��('1 L�,j <br />OAI e __ _. � '� ' S : , <br />' �, � ..� r, , o _ • . <br />%11!!-l�i�r+� ri.d�lt/1ti^� 6M o�, i.� c✓ r So ,.��.�c�.. i,.� �,�� <br />�� „ �� c J� <br />�1�� 1-�C�}//%� V�i���L-� ����'�— �.�;ir! v,.� _i.� , '�-� . <br />_ ` M �. <br />• (�.����Jif c1� .� '� ,.,.. , .�.��r�\ �o �itGi,.�'JCnlln i � <br />. " . �:_,�/3 �L <br />i <br />Approved for Issuance by: Date n—C.� <br />