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APPLICATION for 4 <br /> ifiPUBLIC WORKS PERMIT U� 9 <br /> `;Err PUBLIC WORKS DEPARTMENT <br /> E, a 3200 Cedar Street <br /> Everett, WA 98201 425 -257-8810 <br /> 7 <br /> Date 5/2/4f Owner Name: / ` / ^ / tic/ ,b- Applicant Name: <br /> Mailing Address: 7o / C/t 1A./c G al vailing Address: <br /> Phone Number: Phone Number: V Z.c"7'/ ' /40- <br /> Description of Work: �(v ,T'/' )e 5" / i() , / <" <br /> (A drawing or plans may be needed to illustrate work to be done) <br /> Site Address: �/1/ l; Z /V 6- OA/ 5?/-. ' <br /> Comments from Inspector during initial inspection: <br /> `IGQ y�yS� rnv e Peer LP fief Ael t ir"715a1- O 1 <br /> .e cl����lG,� drAf-.• / 14i10tk I7'f' *f /4I 7Yod -C€144 . <br /> 7:Rriii7`44/ <br /> Phf'!h/i7.) <br /> /4-lye& imp sT 66- P e ?Aci'< OF LJ4- rn(- -rz go <br /> Approved for issuance by: Date: <br />