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�� <br />� <br />Owner Name: <br />APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 425-257-8810 <br />PW c'�I c& -c c�7 <br />Date ,T.«� 3U. 200 9 <br />['.Ln�o-.J.n.�ir" b�rZScn� APPIIcanlName: S.r.�-,c� <br />MoilingAddresr. �!/ iZ«<.C�-" /l+�t-' MailingAddress: �.q»�c" <br />G v � �r /� . 'a f'� � c` / <br />Phone Number. I�Zs - ZS�c'_ 9G f�S' Phone Number. S'n-j,��' <br />DescdplfonofWork: Qc�cNCe��tY✓i 0�= [r'�(csr�.�-ir- G��-+�5����c— <br />Sfte Address: <br />G+�n-�-� ar� c�cca�f �'�icaPc�+-/'y [,,.i+�C". /.Js,7tu <br />u.�vc�zGxcrr.�.0 l-.2cu�i! p/lA-�..� rzl.rT Tics ....,-U Scwc-r'L, <br />jA drawing or plans may be needed to illusirate work fo be done) <br />,� Pc n-.c. 1�U �.� T � u�-. .,_. iv C.'z.� �7Q. r vc- *^-n-5 rrs WC-c c <br />�/ 2L�c,rc-ic A�C-.�'uc- G-�.C�tt7T C✓i1 9SZLd <br />Comments from Inspecfor during inifial Inspectlon: <br />Approved tor Issuance by: Datc: <br />