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• ��;��=�� APPLICATION for <br /> �''' PUBLIC WORKS PERMIT <br /> ?Ev ETf PUBLIC WORKS DEPARTMENT <br /> ,,�, y;,,;:� ; 3200 Cedar Street <br /> ' "�"` Everett, WA 98201 425 - 7_57-8810 <br /> Date <br /> Owner Name: 1�.�1� Appllcant Name: T�`^�1� '% ��' � <br /> / —� <br /> . Mailing Address: ��d o� 1Li,�c-1'C-C.f /�'UJ Moiling Address: �� S�S—c� �J��`^�"���""S <br /> �V��c.Pt�( A�� g 8�/ (..,�'c FU�c� f cr�� G/� 9��sY <br /> Phone Number: y��_ �(� — ��7� Nhone Number. �ry�- 36S= Oo�9� <br /> ���� ►�Co�- <br /> Description ol Work: ���� 2f �cs - f--.-(,( r/.Y �Y�-�-r��� � gYU <br /> �j� [��.���,.� n/I�,r�__� OI � 7�c�CC <br /> CJ �/ <br /> �C' S�o�ei�/z�c.�" <br /> �A drawing or plans may be needed to illustraie work to be done� <br /> Site Address: ��U,z �-� ��n n �S `LtJ�Jc�1 ��-�� <br /> Comments Irom Inspector dvring inilial inspection: <br /> Approved for issuance by: Date: <br />