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APPLICA'iION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTh1ENT <br />3200 Cedar Street <br />Everett, �VA 98201 425 • 257-8810 <br />Owner Name: �`"���t��� � � �� `� �'� Appllcant Name: <br />Moiling Add�ess� �� �� �����^� �� Ivlailing Address: <br />y-,�%":,t�..� i �U ✓�r � 1 ?c'I <br />Phone Idumber. i`.�`� 1�� •% ���., lj,: `I'� Phon� t iumbei: <br />Descripiion of Work: <br />Site Address: <br />� ���,l��t,, <br />�,;1. <br />.��. � <br />,_ � . � c-v �.F+ <br />� �� drenving or <br />� <br />c� <br />P� 9°� � �3 <br />Date � - 2 �` '" �� <br />`7 n.,.-,�_ <br />`�_ � _. . <br />�vw � ., <br />ns may be needed to illusirc�le wor4: to be c�one) <br />Comments trom Inspeclor during initial Inspeciion: <br />Approved for issunnce by: Date: <br />