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APPLICATION for � [� (� (� (1 �l � n <br /> PUBLIC WORKS PERMIT � L�� <br /> fTT PUBLIC WORKS DEPARTMENT �,UG 0 5 20�3 <br /> 3200 Cedar Street <br /> Everett,WA 98201 (425)257-8810 <br /> \ C�TY OF EVERETT <br /> � ,ncn,�op!Public Servicao <br /> � �,��3�7g -OlZ Date 2 3 <br /> Owner ame: ' 1 i V� Applicants Name: J e T` �c�1 � � � <br /> Mailing addre : ��2 �� V�a�L �r Mailing address: S��rri C' <br /> v � k/q � 2U�� <br /> Phone number: �r -�� Phone number. 5�=.,�r'I � � <br /> C'ons/�ucf- a. [:.� " M s c�s in c trn%��-+a wnN rivc /P���/,� -n ^��, <br /> Description of Work: ✓c'_ � _� n___�.,_=i✓��) d" 5�'�f� � <br /> _� <br /> ��r; ��� 1 l�� �� � �� <br /> � v' 2�- ' <br /> �r. _� <br /> �� � <br /> i <br /> Site Address:;;�.��� c�,�� c�,��/�,� � ' <br /> Gi � <br /> t j_j <br /> c:� <br /> Comme�ts from Inspector during initial inspection: __ <br /> �.S-� <br /> C� <br /> � <br /> 4, �C;�ork �u B� c�c;n0 4 c�l�tita�c�S in -Fl�e lel�Er -fo �r_ nC�cuh� a�4-feC� <br /> n-T—j--L-'-'�'.. QnC� �t.r �'�'1C ��f{ Llr\h h�a( k �:Sr5/i Iv.nv�v.c� . <br /> � �icr ! �r ��t '�"n SI�j�^''c No iJ�c�rt�''.� ��+d' -�n\^ -��+i. <br /> S4r �'o„ F .. W ill� �+,/��;r,�. � <br /> ,�.� � i�Tf*-Wa . <br /> � J�. !.-�� 7hC O[�/7Lr /S /���o��fr��.f �/' h'1G/n '�ki�ti� TN/.S <br /> /���.rrc✓��..,,��f � f'<�c 2 isfi•, � c✓ii-f /ti„lk:.,vt be w�cn <br /> '�r L <br /> '�ti�+ O�ccc/Cn�S Cr� �1.��1✓.' Ar, <br /> Approved for Issuance by: Date <br />