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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 />P�� o�o-�-�.� � <br />�ate S- �� - U�/ <br />Owner Name: I���« � S�n ri)PRd�"t� P_ Applicant Name: �� I J Q' /1 �� P/7 � I�t', <br />��/ N� % � <br />Mailing Address: % IC�i' %� ( S,�. Moiling Address: <br />E, ���r�� t� C�/� SP,�o�P <br />� <br />Phone Number. �,,�(S" ��s" 7%� � Phone Number. <br />Description of Work; <br />Site Address: <br />�C�,nJ E. <br />SP►�� <br />(A drawing or plans may be needed to illusirate work fo be done) <br />1 <br />CommF nts from Ins�ector during ir.itlal Inspection: <br />Approved for issuance by: Date: <br />