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� <br />� <br />� <br />N <br />Owner Name: ' <br />APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />32Q0 Cedar Street <br />Evere;t, WA 98201 (425) 257-8810 <br />Mailing address: V� P''=� �` �<< � f •� �' <br />l_ , <'�-�''1, 'J - <br />Phone number. ����%% � ' <br />Description of Wo�k: '"�' ' ' `. <br />Site Address: <br />Date <br />%j'/ �� <br />�±-t' <br />Applicants Name: ' �` C• ' ' ' • <br />Mailing address: �"'' `� <br />Phone number: �' ` � � % <br />c� 4zs-_.�4-¢- >-9¢g <br />� <br />-r ;� .�. . , <br />� ��,- -� � . <br />i <br />i <br />�. � <br />nr. . <br />„ <br />: i� <br />. . � ' ' `� � i ♦ � � r � � � � <br />Comments from Inspeclor during initial inspection: <br />-� � /. /���.,�w 2Ih �i ,� T�' �C`'�-� <br />`� /. �.,� (/r G' � <br />L�,:D�CC� C�/�%'c'�CvcP `/ C�t'�2�". <br />./ <br />� � n <br />� �E`� �� s'�rv�: � �✓"i c-���t�« �/ /'`� r %`�'�y <br /># "' �/ / <br />S¢;:��%z:,�✓ �C�J lM��.� �,i�7-�� iCi6�.•C C.U��'/�S, <br />��-1�' `,'�?�oi- t%r� Si ���Fon' .I'f<i��i�� S, C���"k, <br />�'.C,F ,`�?'-�--��� ' Sr2<�- 3'� y�'- 75t0� U <br />Aeproved icr �ssuence by: Date <br />