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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 />Date /L � o f � f/ 2011 <br />Owner Name: tDd s 0144 /V e erK Applicant Name: nn�� zz.A/ <br />Mailing Address: y( n 6 6✓ef'/ dr<w n�c Mailing Address: 1) 0, r�o'l 12 (U 42 <br />Phone Number: ' ) S - S / ) — O �'2 9 Phone Number: <br />Description of Work: <br />ct y08a — <br />/qr // /i.;7r-7 6.Z <br />A drawing or plans may be needed to illustrate work to be done) <br />Site Address: t3ekyetH S'y106 , r '-/r'o2 k/cr� Vrr tZvr✓,e- <br />Comments from Inspector during initial Inspection: �" / 1 <br />pence 6Y�5�1 it J[�,. <br />4 k10 wIDRL -%+art �Zrr IN e '17�✓rl �f��GG(C <br />av�, ��T-�irioS�; l>✓� <br />G</lii NEfCFJ�yzNG �Jrt7��2- <br />����2s T cdoucp <br />�J[aac�tn Eris-r of <br />Approved for Issuance Sy: Date: <br />/& ya &%j FG Cr <br />51!,IZVICr. 406 <br />c(t5njJ4 WWT6-t. r7Er2VIC✓` <br />